Email: *

Service Date: *

Time of Service: *

• 9:00 AM
• 11:15 AM
• 7:00 PM
• Other

Other Time:

Total Sanctuary Count: *

How many people are in the sanctuary?

Altar Call Count: *

Names of Ushers Who Were Late or Absent and Reasons for being Late/Absent *

Supplies Needed, Comments, and Concerns: *

Name

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