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Funeral Planning Worksheet

Please complete the worksheet below:
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Please complete the worksheet with information for whom the funeral will be and return to the church office at least 2 days prior to the funeral.
  
  Changes are common. Please email your facilitator with any changes to the information.
  
  Funeral Location REQUIRED St. Edward the Confessor St. Jude Please fill out this field.
  
  Information about the Deceased
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Date of Death REQUIRED Please fill out this field. Please enter a date.
  
  Date of Wake Please enter a date.
  
  Time of Wake Please enter valid data.
  
  Family Contact Person for Planning
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Deceased Please enter valid data.
  
  Street Address Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Best way(s) we can contact you:
  
  Home Phone Number Maximum 20 characters Please enter a phone number.
  
  Mobile Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Details
  
  Would you like this live-streamed on the Parish's Facebook page? Yes No
  
  Estimated Number of People: (Please select option from drop down box)
  
  Reading Selections (Selection & Reader)
  
  FIRST READING
  
  Reading 1 (Pentecost through Lent: Old Testament)
  
  Reading 1 (Easter to Pentecost: New Testament)
  
  Reading 1 (Reader Name) REQUIRED Please fill out this field. Please enter valid data.
  
  RESPONSORIAL PSALM
  
  Responsorial Psalm (St. Edward)
  
  Responsorial Psalm (St. Jude)
  
  SECOND READING
  
  Reading 2 (New Testament)
  
  Reading 2 (Reader Name) REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  PRAYERS OF THE FAITHFUL (Facilitator will provide family with options)
  
  Prayer of the Faithful (Reader) REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Presentation of the Gifts (Provide Names of 2-3 People) REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  WORDS OF REMEMBRANCE (Please provide to facilitator by 5pm the day before)
  
  Words of Remembrance (Use drop down box to select when will be presented)
  
  Words of Remembrance (Presenter) Maximum 20 characters Please enter a phone number.
  
  Musical Selections (Name and # for each)
  
  Entrance REQUIRED Please fill out this field. Please enter valid data.
  
  Offertory REQUIRED Please fill out this field. Please enter valid data.
  
  Communion REQUIRED Please fill out this field. Please enter valid data.
  
  Closing REQUIRED Please fill out this field. Please enter valid data.
  
  Other Information
  
  Please provide any additional information
  
  Submit
  
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Medfield & Norfolk
Catholic Collaborative

Saint Edward the Confessor and Saint Jude Parishes

Funeral Planning Worksheet

Please complete the worksheet below: