Nurture Worship

Lay Eucharist Visitors’ Report

November 4, 2019November 4, 2020 Brian Sapp-Moore

Please complete the form below after Personal Communication has been provided.

Date of Visit *

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Name of Eucharist Receiver(s) *

First

Last

Name of Eucharist Receiver(s)

First

Last

Name of Eucharist Receiver(s)

First

Last

Name of Eucharist Receiver(s)

First

Last

Total number of people receiving Eucharist *

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Name of Lay Eucharist Visitor(s) *

First

Last

Name of Lay Eucharist Visitor(s)

First

Last

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Additional comments regarding the Receiver, including general health, specific needs, special requests, etc. (This is especially important to the clergy and the next team).

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During COVID-19, please check the choice that applies to this visit) *

Drop off Eucharist for Receiver to share with family members or friends
Drop off Eucharist and Lay Eucharist Visitor and Receiver being visited celebrate over the phone with LEV in the driveway
Fifteen minute Eucharist with Receiver(s) and Lay Eucharist Visitor

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