Funeral Planning Form

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Notable information before Completing this Form
First and foremost please notify the funeral home of your loved one's passing.
The funeral home will contact St. Joseph's with your contact information.
Someone from the Funeral Ministry Team will contact you with next steps.
Several of the fields on this form are not required at this time, but will be required at some point.
Take special note that this form cannot be reopened once it has been submitted at this time.

The Funeral Ministry team welcomes the opportunity to meet with you and your family. Judy Stevens, Louise McKenna and Sandy Mahan
The maximum number of form submissions has been reached. This form is currently not available.
- Deceased Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Deceased Date of Birth (if known) Please enter valid data.
  
  Deceased Date of Death (if known) Please enter valid data.
- Next of Kin/Contact Person
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Mailing Address REQUIRED Please fill out this field. 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.
- Funeral Information
  
  Funeral Home REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Funeral Mass (if known) Please enter valid data.
  
  First Reading, Old Testament
  
  Second Reading, New Testament
  
  Entrance Hymn
  
  Responsorial Psalm
  
  Offertory Hymn
  
  Communion Hymn
  
  Meditation
  
  Meditation of Choice Please enter valid data.
  
  Song of Farewell
  
  Recessional Hymn
  
  Military? Yes No
  
  Star Spangled Banner? Yes No
  
  Provide your email address if you would like to receive a copy of this form
  Provide an email address if you would like to receive a confirmation copy of this form.
  Please enter an email address.
Submit
Contact Us
- Judy Stevens
  
  Funeral Ministry Team
- Louise McKenna
  
  Funeral Ministry Team
- Sandy Mahan
  
  Funeral Ministry Team

St. Joseph's Catholic Church

10 H. Putnam Rd. Ext. Charlton, MA

Rev. Robert Grattaroti, Pastor
Rev. Charles Monroe, Senior Priest

Funeral Planning Form

Contact Us