Funeral Planning Form Please enable JavaScript in your browser to complete this form. - Step 1 of 2General InformationFuneral Mass / Service of:FirstMiddleLastDate of BirthDate of DeathFuneral Date and TimeDateTimePlanning Contact PersonNameFirstLastPhone NumberEmailFuneral Home InformationName of Funeral HomeName of Funeral Home ContactFuneral Home Phone NumberNextFuneral Liturgy PlanningCeremony TypeFuneral Service (Introductory Rites, Liturgy of the Word, Final Commendation)Funeral Mass (Introductory Rites, Liturgy of the Word, Liturgy of the Eucharist, Final Commendation)Entrance Procession (Song or Instruemental)Will there be a speaker OR speakers for the Words of Remembrance? SELECT ONEYESNO1 to 2 speakers are allowed to offer words of remembrance. The remarks are asked be to kept short; generally about 2 to 4 minutes or about one page of printed text. If you answered 'YES' to the above question, please provide the name(s) of the speaker(s)First Reading (select ONE)2 Maccabees 12:43-46Job 19:1, 23-27aWisdom 3:1-9Wisdom 3:1-6,9Wisdom 4:7-15Isaiah 25:6a, 7-9Lamentations 3:17-26Daniel 12:1-3Additional First Reading for During the Easter Season (select ONE)Acts 10:34-43Acts 10:34-36, 42-43Revelation 14:13Revelation 20:11-21:1Revelation 21:1-5a, 6b-7Name of the lector for the First Reading?Responsorial Psalm (select ONE)Psalm 23Psalm 25Psalm 27Psalm 42Psalm 63Psalm 103Psalm 116Psalm 122Psalm 130Psalm 143Second Reading (select ONE)Romans 5:5-11Romans 5:17-21Romans 6:3-9Romans 6:3-4, 8-9Romans 8:14-23Romans 8:31b-35, 37-39Romans 14:7-9, 10c-121 Corinthians 15:20-281 Corinthians 15:20-231 Corinthians 15;51-572 Corinthians 4:14-512 Corinthians 5:1, 6-10Philippians 3:20-211 Thessalonians 4:13-182 Timothy 2:8-131 John 3:1-21 John 3:14-16Name of the lector for the Second Reading?Gospel Reading (select ONE)Matthew 5:1-12aMatthew 11:25-30Matthew 25:1-13Matthew 25:31-46Mark 15:33-39; 16:1-6Mark 15:33-39Luke 7:11-17Luke 12:35-40Luke 23:33, 39-43Luke 23:44-46, 50, 52-53; 24:1-6aLuke 23:44-46, 50, 52-53Luke 24:13-35Luke 24:13-16, 28-35John 5:24-29John 6:37-40John 6:51-59John 11:17-27John 11:21-27John 11:32-45John 12:23-28John 12:23-26John 14:1-6John 17:24-26John 19:17-18, 25-39General Intercessions / Prayers of the Faithful (select up to 6 prayers)1234567891011121314Will the prayers be read by a family member or friend?SELECT ONEYESNOIf you answered 'YES' to the above question, what is his/her name?Preparation of the Gifts (Song or Instrumental)Communion Song (Song or Instrumental)Meditation Song (Song or Instrumental)Procession to the Place of Committal (Song or Instrumental)Additional Notes about the Funeral Service/MassSubmit