Christian Funeral Advance Planning Form Emmaus Lutheran Church, Wauseon, Oh (Page 2 of 3) in pdf

Christian Funeral Advance Planning Form Emmaus Lutheran Church, Wauseon, Oh Page 2

Christian Funeral Advance Planning Form

Emmaus Lutheran Church, Wauseon, OH

In witness to my faith in Jesus Christ and my assurance of sharing His resurrection, I have chosen to

provide the following information for guidance at the time of my death, should I die before His return.

This form is to assist those who are handling my personal affairs and deals only with pastoral

information.

1. My full name is ____________________________________________________________________

(as it should appear in the bulletin, etc. Please include your MAIDEN NAME, if applicable.)

Date of your birth

___________________________

Date of your Baptism* __________________________

Date of your Confirmation* ______________________ Verse* _________________________

*only if known

2. Contact Person ____________________________________________________________________

(This is the family member or person in charge of your funeral arrangements and the chief contact for the church.)

Contact Person’s phone number

1. Preferred phone number:

__________________________

2. Alternative phone numbers: __________________________

3. I desire:

Funeral Service at church

Yes/No

Viewing of the Body

Yes/No

Service at the Funeral Home

Yes/No

A memorial service

Yes/No

Cemetery committal

Yes/No

4. I request these Christian songs or hymns:

1. ____________________________________________________________________

2. ____________________________________________________________________

3. ____________________________________________________________________

5. I request the following Scriptures, e.g.:

Psalm

________________________________________________________________

Old Testament ________________________________________________________________

Epistle

________________________________________________________________

Gospel

________________________________________________________________

Christian Funeral Advance Planning Form Emmaus Lutheran Church, Wauseon, Oh Page 2