St. Mary Help of Christians Funeral Information Form - kag

1Deceased Funeral Information > 2Funeral Home Information > 3Deceased Family Information
Name Name Title First Middle Last Suffix
Date of Death Date of Death / MM / DD YYYY
Date of Birth Date of Birth / MM / DD YYYY
Age at Death
Parishioner / Non Parishioner

Parishioner / Non Parishioner Parishioner Non Parishioner
Date of Funeral Date of Funeral / MM / DD YYYY
Time of Funeral Service Time of Funeral Service : HH MM AM/PM
Celebrant

Celebrant Very Rev. Richard C. Wilson Rev. Michael Ghattas Deacon Robert Pierce Deacon Steven Platte Deacon Alejandro Leguizamon Deacon Al Matousek
Request for Celebrant - Name, Diocese - Contact Phone Number
Full Body / Cremains

Full Body / Cremains Body present, Funeral Mass at SMHOC Body present, Funeral Liturgy at SMHOC Body present, Funeral Liturgy at Funeral Home Cremains present, Funeral Mass at SMHOC Cremains present, Funeral Liturgy at SMHOC Cremains present, Funeral Liturgy at Funeral Home Cremains / Committal Only
Type of Funeral Service

Type of Funeral Service Funeral Mass Funeral Liturgy
Location of Funeral Service

Location of Funeral Service Old St. Mary's New St. Mary's Funeral Home Graveside
Date of Burial / Commital Date of Burial / Commital / MM / DD YYYY
Time of Burial / Committal Time of Burial / Committal : HH MM AM/PM
Location of Burial / Committal - Cemetery, City & State
Flock Note Notice

Flock Note Notice Yes No
Old Testament
Responsorial Psalm
New Testament
Gospel (Priest Chooses)
Deacon
Lector
Organist
Cantor
Entrance Hymn
Offertory Hymn
Communion Hymn
Altar Server
Altar Server
Altar Server
Gift Bearers
Gift Bearers
Contact Name Contact Name First Last
Relationship to Deceased
Contact Phone Contact Phone - ### - ### ####