Funeral Liturgy Pre-Planning Form
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1
2Funeral Liturgy Pre-Planning
Our Lady of the Assumption Catholic Church - 1350 Hearst Drive, Brookhaven, GA 30319
PLEASE PRINT LEGIBLY.
Funeral Liturgy Plan for:
___________________________________________________________________
Full Legal Name
Date and Place of Birth:
___________________________________________________________________
Date and Church of Baptism:
___________________________________________________________________
Date and Church of First Communion: ____________________________________________________________
Date and Church of Confirmation:
____________________________________________________________
Date and Church of Marriage: ___________________________________________________________________
CONTACT INFORMATION
Person Completing Form:
___________________________________________________________________
Name, Phone Number, Email Address
Contact for
Final Arrangements:
___________________________________________________________________
Name, Phone Number, Email Address
At time of death, please contact the OLA parish office at 404-261-7181, ext. 128 to schedule the funeral
liturgy and a meeting to finalize plans. (If possible, please contact OLA when death is imminent.)
Funeral Home:
___________________________________________________________________
Name and Phone Number
VIGIL SERVICE
Location (Circle One):
OLA
Funeral Home
Requested Celebrant
___________________________________________________________________
Name of Deacon or Priest (Contact information if not at OLA)
FUNERAL LITURGY
Type of Service (Circle One):
Funeral Mass with Body
Funeral Mass with Cremated Remains
Memorial Mass (No body or cremated remains)
Requested Celebrant
___________________________________________________________________
Name of Priest (Contact information if not at OLA)
Assisting Clergy
___________________________________________________________________
Names of Deacons or Priests (Contact information if not at OLA)
LITURGY OF THE WORD
Old Testament Reading:
___________________________________________________________________
Reading Selection
___________________________________________________________________
Name of Reader and Contact Information
New Testament Reading:
___________________________________________________________________
Reading Selection
___________________________________________________________________
Name of Reader and Contact Information
Gospel Reading:
___________________________________________________________________
Reading Selection
Continued on Back of Page.
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Parent category: Life