Official Record of Bishop’s Visitation Form

Official Record of Bishop’s Visitation

Contact and Church Information

This form is to be completed and submitted no later than one month before the bishop’s visit. If you need a print-friendly version, please email officeofbp@diocese-eastcarolina.org.

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

Congregational Role

Parish Name

Parish Location

Visiting Bishop

Date of Your Visit

Did your visit include confirmations?

Total Number Confirmed

Did your visit include receptions?

Total Number Received

Confirmation and/or Reception Records

Please include the full and proper names of those confirmed during the Bishop’s visit. Be sure to check your spelling.

To add additional entries, press the “+” button on the right side of the field.

Full Name

Gender

Age

Confirmed or Received

Previous Church Affiliation

Address

Please include the full and proper names of those received during the Bishop’s visit. Be sure to check your spelling.

To add additional entries, press the “+” button on the right side of the field.

Full Name

Gender

Age

Confirmed or Received

Previous Church Affiliation

Address

Confirmation and Signature

Name

First Last

Date

Time