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                                                                Funeral Selection Form

                                                 Preparing to Celebrate the Funeral Ceremony

You may want to use this form to assist you in planning and communicating preferences for the funeral celebration of a loved one. Or, you may want to plan your funeral in advance and communicate to loved ones the scriptural readings, hymns, and prayers that best capture your  faith and hope in the resurrection as well as reflect your life as a disciple of Christ.   Furthermore, you may want to identify preferences for pall bearers, offertory gift bearers, scripture readers, and possibly a person to offer the eulogy. 

The form can assist you in working with the parish clergy and music director, your family and friends.  In pre-planning your funeral, please be sure to consult with a funeral director, your parish clergy and music director.

The Funeral Selection Form is also available in this Acrobat PDF printable version of the form.  If you need the free viewer click here.                  Please return the form to the St. Mary Parish Office.

Funeral Selection Form

Name of Deceased__________________________________________________________

Date of Funeral Mass (if known)_______________________________________________

Time of Funeral Mass (if known)_______________________________________________

Church____________________________________________________________________

Celebrant of Funeral Mass or Preference of Presiding Clergy_______________________

Name of Funeral Home ______________________________________________________

Name and Phone Number of Family Contact______________________________________

Pallbearers (up to six people)__________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Entrance / Gathering Song _____________________________________________________

Liturgy of the Word

First Reading ________________________________________________________________

Read By ____________________________________________________________________

Second Reading ______________________________________________________________

Read By ____________________________________________________________________

Gospel Reading ______________________________________________________________

Prayers of the Faithful Option A_____  B_____  C_____  D_____  E_____  F_____  G_____

Prayers of the Faithful Read By _________________________________________________

Liturgy of The Eucharist

Song for the Presentation of the Gifts_____________________________________________

Gifts Brought Forward By ______________________________________________________

Communion Song _____________________________________________________________

Post-Communion Song _________________________________________________________

Person to give the Eulogy_______________________________________________________

Recessional Song _____________________________________________________________

Song for Rite of Commendation __________________________________________________

Other Special Music  (Music and hymns which speak of the Lord's resurrection are particularly appropriate)

______________________________________________________________________

______________________________________________________________________

Any other particular arrangements _________________________________________

______________________________________________________________________

______________________________________________________________________

 Please Return This Form to St. Mary's Parish Office