Funeral Liturgy Form

General Information

Name of the Deceased REQUIRED Please fill out this field. Please enter valid data.

Date of Death Please enter a date.

Date of Funeral Please enter a date.

Visitation Time Please enter valid data.

Funeral Time Please enter valid data.

Funeral Location Please enter valid data.

What type of service will this be? Funeral Mass Funeral Service (Liturgy of the Eucharist excluded) Graveside Service

Burial Location Please enter valid data.

Please select the appropriate choice regarding the remains of the deceased: Casket Cremation No Remains

Funeral Director's Name Please enter valid data.

Funeral Director's Phone Number Please enter valid data.

Your Name Please enter valid data.

Your Phone Number Please enter valid data.

Your Email Please enter valid data.

Participants in the Liturgy

Who will be the celebrant (Priest or Deacon) of the liturgy?

If you do not know, simply say, "unsure."

Please enter valid data.

Will there be any additional ministers (priests or deacons) present? Yes No

Are there any altar servers in the family that would like to serve in the liturgy? Yes No

Are there any Extra-Ordinary Ministers of Holy Communion in the family that would like to serve in the liturgy? Yes No

Will there be gift-bearers? Yes No

Will there be anyone giving Words of Remembrance (Eulogies)? Yes No

If yes, how many persons will be speaking? Please enter valid data.

Are there any particular Christian symbols that you would like to place on/near your loved one's remains for the liturgy? (e.g. rosary, crucifix, Bible) Yes No

If yes, what Christian symbols would you like to use? Please enter valid data.

Will there be pall-bearers? Yes No

If yes, what are the names of the pallbearers?

Liturgy of the Word

Using the options provided to you, please indicate your selections for the readings. To view the text of these readings, click HERE.

If you would rather the celebrant choose a reading himself, simply choose the option "Presider's choice" in the dropdown menu.

What is your choice for the first reading?

Have you selected someone to read this reading? Yes No

What is your choice for the responsorial psalm?

Please specify: I would like the cantor to sing the psalm. I have selected someone to read the psalm. I have not selected anyone to sing or read the psalm.

What is your choice for the second reading?

Have you selected someone to read this reading? Yes No

The celebrant will typically choose the Gospel.

Who will be preaching the homily? The celebrant Another priest or deacon

Music

To plan the music for the liturgy, please contact our Music Coordinator as soon as possible at (985) 641-6429 ext. 212 or by email.

Personal Information

What is the deceased's birthday? Please enter valid data.

What are the deceased's parents' names? Please enter valid data.

How many siblings does the deceased have? Please enter valid data.

Where did the deceased attend elementary school? Please enter valid data.

Where did the deceased attend high school? Please enter valid data.

If the deceased attended college, please indicate where. Please enter valid data.

If any, what degrees did the deceased achieve? Please enter valid data.

Which best describes the deceased? Single Married Divorced Widowed Consecrated Religious

If married, what is the deceased's spouse's name? Please enter valid data.

If married, is the spouse of the deceased living or deceased? Living Deceased

If married, how many years were the deceased and his/her spouse married? Please enter valid data.

If any, with how many children was the deceased blessed? Please enter valid data.

If any, with how many grandchildren was the deceased blessed? Please enter valid data.

If any, with how many great-grandchildren was the deceased blessed? Please enter valid data.

If any, what are some details of the deceased's professional, community, and/or Church involvement? Has the deceased received any awards, honors, or recognitions?

Are there any particular memories about the deceased's Christian life of faith that are memorable or inspiring to you?