Funeral Planning Form
St. John Vianney Catholic Church
Name of Deceased
*
First Name
Middle Name
Last Name
Tell me about the deceased:
City the Deceased live in
Funeral Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Funeral Time
Hour Minutes
AM
PM
AM/PM Option
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Date of Death
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Contact Person/Next of Kin
*
First Name
Last Name
Relationship
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Funeral Home
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Place of Funeral
Church
Funeral Home
Other
Wake/Visitation?
Yes
No
WAKE SERVICE/VISITATION
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time
Hour Minutes
AM
PM
AM/PM Option
Place of Wake
Funeral Home
Church
Other
Eulogy will be offered?
Yes
No
If yes, list name
FUNERAL OR MEMORIAL SERVICE
Will a eulogy be offered?
*
Yes
No
By:
*
First Name
Last Name
Relationship:
First Reading
*
From the Old Testament
Reader Name
First Name
Last Name
Responsorial Psalm
Second Reading
*
From the New Testament
Reader Name
First Name
Last Name
Gospel Reading (normally chosen by the priest)
General Intercessions Reader
Opening Hymn
Offertory Hymn
Gift bearers (optional)
Communion Hymn
Closing Hymn
Additional Notes
Funeral Fee ($500)
Paid at the planning meeting
To be paid at the time of service
Submit
Should be Empty: