Funeral Planning Form
Croatian Catholic Parish - Nativity of Mary, Edmonton
Name of Deceased
*
First Name
Middle Name
Last Name
Date of Death
*
-
Day
-
Month
Year
Date
Funeral Date
*
-
Day
-
Month
Year
Select available date. The date will be determined according to the official's availability. Please, after filling the Form, contact parish priest for arrangement.
Contact Person/Next of Kin
*
First Name
Last Name
Relationship
*
Was deceased in marriage, divorced or widow.
Contact Person Email
*
example@example.com
Contact Person Phone Number
*
Please enter a valid phone number.
Funeral Home
*
Name of Funeral Home
City
State / Province
Postal / Zip Code
Cemetery
*
Name of Cemetery where Funeral will take place.
Eulogy
*
Yes
No
If yes, where would you like to hold Eulogy:
Wake (day before Funeral)
Beginning of the Funeral Mass
End of the Funeral Mass
Cemetery
Nothing the above
First Reading (Reader Name) - optional
First Name
Last Name
Psalm (Reader Name) - optional
First Name
Last Name
Reading will be in:
Croatian language
English language
Additional Notes
Submit
Should be Empty: