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Funeral Planning Form

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  Basic Information
  
  Name of Deceased REQUIRED Please fill out this field. Please enter valid data.
  
  Funeral Date REQUIRED Please fill out this field. Please enter a date.
  
  Funeral Time REQUIRED Please fill out this field. Please enter valid data.
  
  Vigil Date REQUIRED Please fill out this field. Please enter a date.
  
  Vigil Time REQUIRED Please fill out this field. Please enter valid data.
  
  Funeral Director REQUIRED Please fill out this field. Please enter valid data.
  
  Contact Person
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Deceased REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  For All Funerals
  
  First Reading REQUIRED Please fill out this field. Please enter valid data.
  
  Responsorial Psalm REQUIRED Please fill out this field. Please enter valid data.
  
  Second Reading REQUIRED Please fill out this field. Please enter valid data.
  
  Gospel Reading REQUIRED Please fill out this field. Please enter valid data.
  
  Hymn - Opening REQUIRED Please fill out this field. Please enter valid data.
  
  Hymn - Incensing REQUIRED Please fill out this field. Please enter valid data.
  
  Hymn - Closing REQUIRED Please fill out this field. Please enter valid data.
  
  Musicians Please enter valid data.
  
  Song Leaders Please enter valid data.
  
  For Funeral Masses Only
  
  Hymn - Offeratory Please enter valid data.
  
  Hymn - Communion Please enter valid data.
  
  Gift Bearers? Yes No
  
  Gift Bearer Names
  
  Submit
  
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Sorrowful Mother Catholic Church

Wheatfield , IN
A Pastorate of the Diocese of Lafayette-in-Indiana

Funeral Planning Form