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
Date
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?

YesNo
Date/Time of Funeral

MonthDayYear
DateHourMinutesAM/PM Option
Contact Family Member*
Relationship to Deceased*
Contact Phone Number*

Area CodePhone Number
Contact Email*
example@example.com
Type of Service

MassGrave-side OnlyFuneral Home w/Burial
Type of Service
Burial

YesNo
Burial
Cremation

Prior to FuneralNoAfter Funeral
Cremation
Cantor
Accompanist
Please read through the following Old Testament Readings then indicate your selection in the next box.
First Reading • Select One

Jb 19, 1. 23-27Wis 3, 1-9 or 3, 1-6. 9Wis 3 (Short Form)Wis 4, 7-14Is 25, 6. 7-9Lam 3, 17-26Dn 12, 1-3Mc 12, 43-46Other
First Reading
Lector 1
Please read through the following New Testament Readings then indicate your selection in the next box.
Second Reading • Select One

2 Tm 4, 6-8. 16-18Acts 10, 34-43 or 10, 34-36. 42-43 (Long Form)Acts 10 (Short Form)Rom 5, 5-11Rom 5, 17-21Rom 6, 3-9 or 6, 3-4. 8-9 (Long Form)Rom 6 (Short Form)Rom 8, 14-23Rom 8, 31-35. 37-39Rom 14, 7-9. 10-121 Cor 15, 20-24. 25-281 Cor 15, 51-57Phil 3, 20-211 Thes 4, 13-182 Tm 2, 8-131 Jn 3, 1-21 Jn 3, 14-16Revelation 14, 13Revelation 20, 11--21, 1Revelation 21, 1-5. 6-7Other
Second Reading
Lector 2
Please read through the following Gospel Readings then indicate your selection in the next box.
Gospel Choice • Select One

John 14:1-6John 5:24-29John 6:37-40John 6:51-58John 11:17-27John 11:23-27John 11:32-45John 12:23-26John 12:23-29John 13:31-35John 17:24-26John 20:11-18Matthew 5:1-12Matthew 5:1-16Matthew 11:25-30Matthew 22:34-40Matthew 25:1-13Matthew 25:31-40Luke 2:1-14Luke 7:11-17Luke 10:25-37Luke 12:35-40Luke 14:1,7-14Luke 23:33,39-43Luke 23:44-46,50,52-53Luke 23:44-46,50,52-53; 24:1-5Luke 24:13-35Mark 11:20-25Mark 12:41-44Mark 15:33-39Mark 15:33-39;16:1-6Mark 16:1-6Other
Gospel
Celebrant Priest / Presider

Rev. Fr. John HughesOther
Celebrant / Presider Holder
Celebrant presides at the burial/interment

YesNo
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

Rosary
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

Amazing GraceAmazing Grace (My Chains Are Gone)Be Not AfraidHere I Am, LordHow Great Thou ArtI Heard the Voice of Jesus (KINGSFOLD)Morning Has BrokenOther
Gathering Song
Responsorial Psalm

Ps. 23: “Shepherd Me, O God”Ps. 23: “The Lord is My Shepherd”Ps. 25: “I Lift Up My Soul”Ps. 103: “The Lord is Kind and Merciful”Ps. 122: “I Rejoiced (Let Us Go to the House of the Lord)Other
Responsorial/Psalm
Preparation of Gifts Song Choice

Amazing GraceAmazing Grace(My Chains Are Gone)Be Not AfraidCenter of My LifeGive Me JesusGod of Day and God of DarknessHere I Am, LordHosea/Come Back to Me With All Your HeartHow Great Thou ArtI Can Only ImagineI Have Loved YouI Heard the Voice of Jesus (KINGSFOLD)In Christ Alone (Getty)Isaiah 49It is Well with My SoulLove Goes On (Farrell)Morning Has BrokenOnly A ShadowPrecious Lord, Take My HandShelter Me, O GodTo Live With Him ForeverYou Raise Me UpOther
Presentation of the Gifts
Communion Song Choice

Amazing GraceBehold the Lamb (Getty)Bread of Angels / Panis Angelicus.I Am the Bread of Life (Toolan)In Christ Alone (Getty)One Bread, One BodyTake and EatTaste and See (Moore)To Live With Him ForeverUnless a Grain (Farrell)Other
Communion Song
Meditation Song Choice (Optional)

Amazing GraceAmazing Grace (My Chains are Gone)Ave MariaBe Not AfraidGo in Peace (Hart)Hail Mary (Gentle Woman)How Great Thou ArtI Can Only ImagineOn Eagles’ WingsThere is A Place (Liam Lawton)You Raise Me UpOther
Meditation Song
Recessional Song Choice (Sending)

Amazing GraceAmazing Grace (My Chains Are Gone)Be Not AfraidGo in Peace (Hart)Here I Am, LordHow Great Thou ArtI Am the Bread of Life (Toolan)I Heard the Voice of Jesus (KINGSFOLD)On Eagles’ WingsSong of Farewell (Sands)Songs of the AngelsSoon and Very Soon10,000 ReasonsOther
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