Group Reporting Form

Each time a PUMC-related group meets or activity takes place, it is helpful for the church office to receive information about that event. As a group or activity leader, you are asked to complete this form at the conclusion of each meeting, event, or activity.

If you have questions about this request or this form, please contact Brent Miller, Office Manager, in the church office 317.839.2319.

Thank you for your leadership and help in completing this form.

Name of group or activity.*

Date(s) of group, event, or activity (mm/dd/yyyy). *

Separate dates by commas if multiple dates.

Primary purpose of group, event, or activity *

Primary Contact Person *

First NameLast Name

Primary Contact Person Email Address *

example@example.com

Primary Contact Person Phone Number *

Area CodePhone Number

If reporting for a SINGLE group, event, or activity, how many total people participated?

Number of GROUPS participating in this event or activity, if more than one group.

If more than one group, how many people participated in EACH group?

Separate each group number by a comma. (xx, xxx, x, xxx)

If this group, event, or activity served people outside of your group in any way, please estimate the number of people served.