Catholic Funeral Planning Form
Name of Deceased
First Name
Last Name
Date of Death
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Funeral Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Funeral Time
Hour Minutes
AM
PM
AM/PM Option
Contact Person/Next of Kin
First Name
Last Name
Relationship
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Funeral Home
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Place of Funeral
Funeral Home
Church
Other
WAKE SERVICE
Â
Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time
Hour Minutes
AM
PM
AM/PM Option
Place of Wake
Funeral Home
Church
Other
Eulogy will be offered?
Yes
No
if yes List name
FUNERAL AND/OR MEMORIAL SERVICE IN CHURCH/CHAPEL
Â
Openning Hymn
First Reading
Reader Name
First Name
Last Name
Responsorial Psalm
Second Reading
Reader Name
First Name
Last Name
Gospel Reading
Eulogy will be offered?
Yes
No
If yes, list name
Closing Hymn
Additional Notes
Submit
Should be Empty: