Admin: FIM Report

Name*

First Last

Date*

1st Service

Total Adults (1st)*

Total Kids (1st)*

Guest Adults (1st)*

Guest Kids (1st)*

Regular Adults (1st)

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Regular Kids (1st)

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Total 1st Service*

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Attendee Notes - 1st Service*

Total Adults (2nd)*

Total Kids (2nd)*

Guest Adults (2nd)*

Guest Kids (2nd)*

Regular Adults - 2nd Service

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Regular Kids - 2nd Service

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Total 2nd Service*

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Attendee Notes - 2nd Service*

*** Pastors will complete this section after the form is submitted.

Total out for church-related event

Which events?

Duplicated Adults*

Duplicated Kids*

Total Attendance (All)*

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Building Notes

Safety Concerns

Name

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