FUNERAL PLANNING FORM

Funeral Liturgy Planning Form

Please fill out all questions that apply
Name of Deceased

First NameMiddle NameLast Name
Name that He/She was Best Known By
Enter name above
Deceased Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Reminder: The date and time of the funeral cannot be scheduled without first speaking with someone in the Parish Office. Please make sure that the Funeral Home calls the Parish Office prior to finalizing arrangements.
Has a date and time for the funeral been confirmed with the funeral home and St. Charles Catholic Church?
Date/Time of Funeral

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDateHourMinutesAM/PM Option
Contact Family Member
Relationship to Deceased
Contact Phone Number

Area CodePhone Number
Contact Email
example@example.com
Type of Service
Type of Service
Burial
Burial
Cremation
Cremation
Cantor
Accompanist
Please read through the following Old Testament Readings then indicate your selection in the next box.
First Reading • Select One

Other
First Reading
Lector 1
Please read through the following New Testament Readings then indicate your selection in the next box.
Second Reading • Select One

Other
Second Reading
Lector 2
Please read through the following Gospel Readings then indicate your selection in the next box.
Gospel Choice • Select One

Other
Gospel
Celebrant Priest / Presider

Other
Celebrant / Presider Holder
Celebrant presides at the burial/interment
Celebrant presides at the burial/interment Holder
Name of the minister presiding at the burial/interment
Gift Bearers
Placing of the Pall

List the names of those placing the Pall below • 2-6 people
1   Enter First Name
2   Enter Second Name
3   Enter Third Name
4   Enter Fourth Name
5   Enter Fifth Name
6   Enter Sixth Name
Name of Funeral Home
Name of Cemetery
Prayer Prior to the Funeral for the Deceased
Prayer prior to the Funeral for the Deceased
The next 6 questions are songs that are commonly used for Funeral liturgies. Please select your song choice for each part of the Liturgy.

Gathering, Responsorial Psalm, Preparation of Gifts, Communion, Meditation and Sending
Gathering Song Choice

Other
Gathering Song
Responsorial Psalm

Other
Responsorial/Psalm
Preparation of Gifts Song Choice

Other
Presentation of the Gifts
Communion Song Choice

Other
Communion Song
Meditation Song Choice (Optional)

Other
Meditation Song
Recessional Song Choice (Sending)

Other
Commital Procession
Other Information / Additional Comments
If you have any additional questions or comments please enter them here.
Reminder: The date and time of the funeral cannot be scheduled without first speaking with someone in the Parish Office. Please make sure that the Funeral Home calls the Parish Office prior to finalizing arrangements.
Should be Empty:

Funeral Liturgy Planning Form