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BLC Family Service Reporting Form
Credit will be given after a family service reporting form has been completed.
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* Indicates required question
Student Name
*
Your answer
Date
*
MM
/
DD
/
YYYY
Family members who participated
Your answer
Type of Service (choose one)
*
at/with Bethlehem Lutheran Church
within the Community
What did you do together?
*
Your answer
What made God smile through this activity?
Your answer
What things do you wish were different?
Your answer
Did you make a difference? How?
Your answer
Would you do this activity again?
Yes
No
Clear selection
How long were you involved in this activity? (list number of hours)
*
Your answer
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