Funeral/Celebration of Life Request Form
Please fill in as much information as you have available at this time. Please note that completing this form does not confirm your ceremony plans. Our office will be in touch to confirm details and provide next steps to meet with a clergy member as soon as possible.
Primary contact name
Relationship to the deceased
Please enter a valid phone number.
Name of the deceased
First and Middle Name(s)
Preferred name to be used during the service
Date of birth
Date of death
Was the deceased a regular attendee of MCC Toronto?
MCC Toronto (115 Simpson Ave. Toronto)
Offsite Funeral Home
Date requested for funeral
Approximate number of Guests Attending
Rev. Junia Joplin
Rev. Deana Dudley
Would you like to include any of the following in the service? (Please review our rates & fees page for pricing.)
Video/Webcast Technician (operates a live YouTube feed that can be shared online)
Sound Technician (operates music, sets up microphones for singers, readings, etc.)
PowerPoint Technician to make/operate a presentation of photos, music lyrics, etc.
Is there anything else you would like to make us aware of at this time?
Should be Empty: