Funeral Planning Form

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FUNERAL PLANNING FORM
The information on this form will assist your pastor and family in the preparation of your funeral/ memorial
service. A copy of this should be given to your pastor (to keep on file at your church) and to a family member.
1, Funeral worship service for ________________________________________________________________
Enter full name
2, _______________________
3. _________________________________________________________
Date of Birth
Place of Birth
4. Worship Service / Memorial Service at Church or Funeral Home: __________________________________
5. Holy Communion offered during service at Church: yes _________
no _________
6. List of Favorite Hymns
Hymn Number (optional)
Hymn Name or First Line
_______________________
a. ______________________________________________________________
Name of Hymnal
b. _____________________________________________________________
(optional)
c. _________________________________________ d. _________________________________________
e. _________________________________________ f. _________________________________________
7. List of Favorite Scripture _________________________________________________________________
Passages, poems, etc.
_________________________________________________________________
Please attach copies of
poetry to this form.
_________________________________________________________________
8. Other music: anthems,
_________________________________________________________________
solos, etc., you like.
9. Favorite mottoes, slogans, etc. ______________________________________________________________
10. Attach, as a separate page, any anecdotal information about yourself that may be helpful to your pastor,
or person speaking at your service. Attach a resume of your personal, academic and/or business
achievements.
Current Address: ___________________________________________________________________________
Phone: _________________________________________ E-mail: ___________________________________
Occupation/Profession: ______________________________________________________________________
Father’s Full Name: ________________________________________ Occupation: ______________________
Mother’s Full Name: ________________________________________________________________________
Mother’s Maiden Name: ____________________________________ Occupation: ______________________
To whom Married: _________________________________________ Age Married: ____________________
Place Married: _____________________________________________________________________________
To whom Married: _________________________________________ Age Married: ____________________
Place Married: _____________________________________________________________________________
Service Branch: _______________________________________ Rank: _______________________________
Burial Plot reserved at: _______________________________________________________________________
Preferred Funeral Home for arrangements: _______________________________________________________
Please do the following with my ashes: __________________________________________________________
Special Donations to (i.e. your church, other organization(s) or causes): ________________________________
Other Requests: (i.e. preferred venue, officiant, flowers, type of casket, etc.)
__________________________________________________________________________________________
Contact Person Name: ___________________________ Contact Person Name: _________________________
Contact Person Name: ___________________________ Contact Person Name: _________________________
Would you like us to contact you to discuss your wishes further? _____________________________________

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