Deacon Report Contact Report for Deacon Families Deacon Name(Required) First Last Deacon Email(Required)Enter your own email here to receive a copy of this report. How many families are you reporting on today?(Required)Please enter a number from 1 to 12.1. Family Name(Required) Date of Contact or Visit(Required) MM slash DD slash YYYY Why did I make contact with this family?Select one or more options Routine Contact Life Event (birth, anniversary, death, etc.) Haven't seen in SS or church recently Surgery or illness Other Select AllI made contact by:Select one or more options In Person (home or nursing home) Hospital Visit Card/Text/Phone Church/Social/Community Unable to contact Select All2. Family Contacted(Required) Date of Contact or Visit(Required) MM slash DD slash YYYY Why did I make contact with this family?Select one or more options Routine Contact Life Event (birth, anniversary, death, etc.) Haven't seen in SS or church recently Surgery or illness Other Select AllI made contact by:Select one or more options In Person (home or nursing home) Hospital Visit Card/Text/Phone Church/Social/Community Unable to contact Select All3. Family Contacted(Required) Date of Contact or Visit(Required) MM slash DD slash YYYY Why did I make contact with this family?Select one or more options Routine Contact Life Event (birth, anniversary, death, etc.) Haven't seen in SS or church recently Surgery or illness Other Select AllI made contact by:Select one or more options In Person (home or nursing home) Hospital Visit Card/Text/Phone Church/Social/Community Unable to contact Select All4. Family Contacted(Required) Date of Contact or Visit(Required) MM slash DD slash YYYY Why did I make contact with this family?Select one or more options Routine Contact Life Event (birth, anniversary, death, etc.) Haven't seen in SS or church recently Surgery or illness Other Select AllI made contact by:Select one or more options In Person (home or nursing home) Hospital Visit Card/Text/Phone Church/Social/Community Unable to contact Select All5. Family Contacted(Required) Date of Contact or Visit(Required) MM slash DD slash YYYY Why did I make contact with this family?Select one or more options Routine Contact Life Event (birth, anniversary, death, etc.) Haven't seen in SS or church recently Surgery or illness Other Select AllI made contact by:Select one or more options In Person (home or nursing home) Hospital Visit Card/Text/Phone Church/Social/Community Unable to contact Select All6. Family Contacted(Required) Date of Contact or Visit(Required) MM slash DD slash YYYY Why did I make contact with this family?Select one or more options Routine Contact Life Event (birth, anniversary, death, etc.) Haven't seen in SS or church recently Surgery or illness Other Select AllI made contact by:Select one or more options In Person (home or nursing home) Hospital Visit Card/Text/Phone Church/Social/Community Unable to contact Select All7. Family Contacted(Required) Date of Contact or Visit(Required) MM slash DD slash YYYY Why did I make contact with this family?Select one or more options Routine Contact Life Event (birth, anniversary, death, etc.) Haven't seen in SS or church recently Surgery or illness Other Select AllI made contact by:Select one or more options In Person (home or nursing home) Hospital Visit Card/Text/Phone Church/Social/Community Unable to contact Select All8. Family Contacted(Required) Date of Contact or Visit(Required) MM slash DD slash YYYY Why did I make contact with this family?Select one or more options Routine Contact Life Event (birth, anniversary, death, etc.) Haven't seen in SS or church recently Surgery or illness Other Select AllI made contact by:Select one or more options In Person (home or nursing home) Hospital Visit Card/Text/Phone Church/Social/Community Unable to contact Select All9. Family Contacted(Required) Date of Contact or Visit(Required) MM slash DD slash YYYY Why did I make contact with this family?Select one or more options Routine Contact Life Event (birth, anniversary, death, etc.) Haven't seen in SS or church recently Surgery or illness Other Select AllI made contact by:Select one or more options In Person (home or nursing home) Hospital Visit Card/Text/Phone Church/Social/Community Unable to contact Select All10. Family Contacted(Required) Date of Contact or Visit(Required) MM slash DD slash YYYY Why did I make contact with this family?Select one or more options Routine Contact Life Event (birth, anniversary, death, etc.) Haven't seen in SS or church recently Surgery or illness Other Select AllI made contact by:Select one or more options In Person (home or nursing home) Hospital Visit Card/Text/Phone Church/Social/Community Unable to contact Select All11. Family Contacted(Required) Date of Contact or Visit(Required) MM slash DD slash YYYY Why did I make contact with this family?Select one or more options Routine Contact Life Event (birth, anniversary, death, etc.) Haven't seen in SS or church recently Surgery or illness Other Select AllI made contact by:Select one or more options In Person (home or nursing home) Hospital Visit Card/Text/Phone Church/Social/Community Unable to contact Select All12. Family Contacted(Required) Date of Contact or Visit(Required) MM slash DD slash YYYY Why did I make contact with this family?Select one or more options Routine Contact Life Event (birth, anniversary, death, etc.) Haven't seen in SS or church recently Surgery or illness Other Select AllI made contact by:Select one or more options In Person (home or nursing home) Hospital Visit Card/Text/Phone Church/Social/Community Unable to contact Select AllDetails or Important informationIs there any pertinent information that the office staff needs to know? THIS AREA WILL REMAIN CONFIDENTIAL. Please include the family name for each detail.
