• Funeral Information Form
  

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  • Date REQUIRED Please fill out this field. Please enter a date.
  • Church REQUIRED (Select One) St. Vincents St. Mary's Riverhead St. Joseph's Admirals Beach Mt. Carmel Colinet North Harbour Please fill out this field.
  • Name of Deceased REQUIRED Please fill out this field. Please enter valid data.
  • Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  • Date of Death REQUIRED Please fill out this field. Please enter a date.
  • Proposed Date of Funeral REQUIRED Please fill out this field. Please enter a date.
  • Type of Liturgy REQUIRED (Select One) Funeral Mass Funeral Service Please fill out this field.
  • Next of Kin/Contact Person REQUIRED Please fill out this field. Please enter valid data.
  • Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  • Email Please enter an email address.
  • Name of Funeral Home REQUIRED Please fill out this field. Please enter valid data.
  • Has Cremation Taken Place REQUIRED (Select One) Yes No Please fill out this field.
  • If Yes will there be a burial after the funeral liturgy None Yes No
  • If No, will cremation take place after funeral liturgy None

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