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FUNERAL PRE-PLANNING FORM
Personal information
*
Indicates required field
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Email
*
Profession
*
Birthdate
*
Birthplace
*
Who will most likely make the final arrangements for your funeral?
Name
*
First
Last
Phone Number
*
Email
*
What is their relationship to you?
*
service arrangements
The following are some typical arrangements (please choose one)
*
A casket present, followed by graveside internment
A casket present, followed by cremation
A cremation with ashes of deceased present
A memorial service (no body, no ashes)
Would you like to have a visitation before the service?
*
Yes
No
If yes, please select a location
*
At the funeral home
At the church
Elsewhere
Would you like a reception after the service?
*
Yes
No
Planning and preferences
Hobbies & Interests
*
Favorite Scripture Verse(s)
*
Favorite Hymns/Songs
*
Memorial Request(s)
*
Pallbearers/Honorary Pallbearers
*
Pallbearers for casket funerals; Honorary Pallbearers for cremations
obituary information
Typically the funeral home will help with the obituary, however, collecting this information ahead of time will help your family.
Spouse(s)
*
Give a brief description of the history of the relationship (alive/deceased, years married, etc.)
Your Parents (names)
*
Your Siblings
*
Please include names, ages (if desired), deceased/living.
Your Children & Grandchildren (if any)
*
Please list in order of birth; give spouses names if appropriate. Also list your grandchildren (if any) in parenthesis following their parents' names.
Your Great Grandchildren (if any)
*
Please list names here along with their parents' names.
Brief personal history
*
Possibilities include: where you grew up, schooling, military service, careers, family, hobbies, clubs & organizations, awards, etc.
discover church permission
Do you give Discover Church permission to share news of your passing & funeral arrangements via (select all that apply)
*
Prayer alert email
Social media (Facebook, Twitter, etc.)
Public announcements (Sunday morning services, etc.)
Submit
Welcome!
In Person Worship
New To Discover
Watch Online
Who We Are
Our History
What We Believe
Ministries We Support
What's Happening @DC
Calendar
Ministries
Childrens Ministry
Give
Contact
Meet the Staff
How to Contact Staff Members
Prayer Requests