LOCAL CHURCH STATISTICAL REPORT
QUARTER Choose an item.	YEAR Choose an item.	DATE Click or tap to enter a date.
CHURCH Choose an item.	DISTRICT Choose an item.	CITY Click or tap here to enter text.
ADDRESS Click or tap here to enter text.	NAME OF CHURCH CLERK Click or tap here to enter text.
DIRECTIONS FOR USING THIS FORM This report is to be filled out quarterly by the church clerk/statistical secretary in its entirety. This report to be completed by ALL CLERKS. Take an actual count not an estimate (attendance) of your Sabbath classes and your entire church body during the 11 o'clock service on the 2nd and 7th Sabbath of each quarter. This report is to be completed and emailed//WhatsApp to District Pastor by the 5th day following the last Sabbath of the quarter. PRINT, REPORT TO BOARD AND FILE.	EMAIL ADDRESS Click or tap here to enter text.
WHATSAPP # Click or tap here to enter text.
MEMBERSHIP
ADDED THIS QUARTER	Children Below 14 yrs.	Teens 14-17	Young Adult 18-29	Adults 30 +	Total
BY Baptism
BY Prof of Faith
BY Letter
ADJUSTMENT
TOTAL ADDED
SUBSTRACTED THIS QUARTER	Children Below 14 yrs.	Teens 14-17	Young Adult 18-29	Adults 30 +	Total
BY Letter
SABBATH SCHOOL ATTENDANCE	BY Death
(SS SEC REPORTS)	2ND SABBATH	7th SABBATH	Dropped
Missing
Cradle Roll	ADJUSTMENT
Kindergarten	TOTAL SUBTRACTED
Primary	CHURCH MEMBERSHIP SUMMARY
Junior	Membership End of Previous Quarter
Earliteen	ADD “TOTAL ADDED”
Teens	Subtotal
Young Adults	SUBSTRACT “TOTAL SUBSTRACTED”
Adults	MEMBERSHIP END OF THIS QUARTER
Visitors	Inactive Members Reclaimed
Baptismal	SDA SCHOOL ATTENDANCE (4th Qrt. Only)
TOTAL	Number school age children Class 1 to form 6
DIVINE SERVICE ATTENDANCE	Number attending SDA schools
(DEACON REPORTS)	2nd SABBATH	7th SABBATH	No. of young adults attending SDA college/univ.
Church Members	No. of young adults attending non-SDA college/univ.
Non-SDA Visitors	CLERK SIGN.	ELDER SIGN.	DISTRICT PASTOR
TOTAL ATTENDANCE