Pastors
First Last (senior/assistant/associate/etc.)

Elders
First Last

Deacons
First Last

Communicant Members (total #)

Voting (over 18)
1.	First Last
2.	…
Non-voting (under 18)
1.	First Last
2.	…

1.	

Non-communicant Members (total #)
1.	
1.	First Last
2.	…
3.	…
4.	…

New Members by Letter of Transfer
1.	First & First Last (children first names)			Month Day, Year
2.	…

New Members by Profession of Faith
1.	First Last							Month Day, Year

New Members by Reaffirmation of Faith
1.	First Last							Month Day, Year

New Non-communicant Members (through parents’ transfer, profession, or reaffirmation)
1.	First Last							Month Day, Year
2.	…

Membership Dismissals
First Last		(transfer/discipline/etc.)			Month Day, Year

Births
First Middle Last		(Parents)				Month Day, Year
…

Infant Baptisms
First Last			(Pastor)				Month Day, Year

Infant Dedications
First Last			(Pastor)				Month Day, Year

Baptisms of Those Professing Faith
First Last			(Pastor)				Month Day, Year

Admissions to the Lord’s Table
First Last								Month Day, Year

Dates of Celebration of the Lord’s Supper

Month Day, Year
…
…
…

Deaths
First Middle Last							Month Day, Year

Marriages
First Last & First Last	(Pastor)				Month Day, Year

Marriages Officiated by Pastors Outside of Church Bounds
First Last & First Last	(Pastor)				Month Day, Year

Baptisms Administered by Pastors Outside of Church Bounds
First Last			(Pastor)				Month Day, Year

Funerals Administered by Pastors Outside of Church Bounds
First Last			(Pastor)				Month Day, Year