Recently Departed Name Submissions
This form is for submitting the names of your LOVED ONES who have passed away SINCE NOVEMBER 1, 2024. Thank you!
Please contact Alyssa Eugenio at alyssaeugenio@avcatholics.org or 949/297-8500 if you have any questions or issues with this form.
YOUR Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Your Phone Number
*
Please enter a valid phone number.
Name of deceased (#1)
*
First Name
Last Name
Date they passed (approx.)
*
-
Month
-
Day
Year
Date
Name of deceased (#2)
First Name
Last Name
Date they passed (approx.)
*
-
Month
-
Day
Year
Date
Name of deceased (#3)
First Name
Last Name
Date they passed (approx.)
*
-
Month
-
Day
Year
Date
Name of deceased (#4)
First Name
Last Name
Date they passed (approx.)
*
-
Month
-
Day
Year
Date
Name of deceased (#5)
First Name
Last Name
Date they passed (approx.)
*
-
Month
-
Day
Year
Date
Name of deceased (#6)
First Name
Last Name
Date they passed (approx.)
*
-
Month
-
Day
Year
Date
If you have more than 6 names to submit, please submit these names, and refresh the form to submit the rest of your names.
Confirmation emails will be sent to you at the address above, and you will be able to confirm that we received all of your loved ones' names.
Submit
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