Trinity Lutheran Church Funeral Planning Worksheet

Transcription

1 Trinity Lutheran Church Funeral Planning Worksheet Your Information Full Name: Please fill in your name as you would like it in the bulletin. Date of Birth: Baptismal Date: Confirmation Date: Confirmation Verse: Favorite Bible Verse(s): _ Contact Information Name(s) of next of kin and/or those making funeral arrangements upon your death: 1.) Relationship: Telephone: 2.) Relationship: Telephone: Family Information Spouse: Years Married: Child(ren): Grandchild(ren): Other Information: 1 P a g e

2 Funeral Service Information Eulogy? []YES [] NO If Yes, who will be speaking? _ Special Music beyond Hymns? []YES []NO If Yes, what piece and who would you like to sing or play? First Reading:*Indicates the default if you do not have a preference *Psalm 23 1 Thessalonians 4:13-18 (But we do not want you to be uninformed, brothers, ) Ecclesiastes 3:1-15 (For everything there is a season, ) Isaiah 25:6-9 (He will swallow up death for ever ) Isaiah 61:1-3 (To comfort those who mourn ) Lamentations 3:22-26, (The Lord is good to those who wait for him, ) Job 19:21-27a (I know that my Redeemer lives ) Other: Second Reading: *Indicates the default if you do not have a preference *Romans 8:31-39 (What shall we say to these things ) 1 Corinthians 15:12-22 (Now if Christ has been proclaimed as raised from the dead ) Romans 5:11 (We have peace with God through our Lord Jesus Christ ) 2 Corinthians 4:16-5:9 (Things that are unseen are eternal ) 1 John 3:1-2 (We shall be like him ) Revelation 7:9-17 (God will wipe away every tear ) Revelation 21:2-7 (Behold, I will make all things new ) Other: Gospel Reading: *Indicates the default if you do not have a preference * John 11:17-27 (Now when Jesus came, he found that Lazarus had already ) Matthew 11:25-30 (I will give you rest ) John 5:24-27 (He who believes has everlasting life ) John 6:37-40 (All that the Father gives me ) John 10:11-16 (I am the Good Shepherd ) John 11:21-27 (I am the resurrection and the life ) Revelation 14:1-6 (In my Father s house are many rooms ) Other: 2 P a g e

3 Hymns Please select 3 hymns. I Know That My Redeemer Lives (LSB 461) Alleluia! Jesus is Risen (LSB 474) Come, Holy Ghost, God and Lord (LSB 497) Holy, Holy, Holy (LSB 507) O Savior, Precious Savior (LSB 527) Jesus, Thy Blood and Righteousness (LSB 563) Just as I Am, without One Plea (LSB 570) We Know That Christ is Raised (LSB 603) A Mighty Fortress Is Our God (LSB 656,657) For All The Saints (LSB 677) Love Divine, All Loves Excelling (LSB 700) My Faith Looks Up to Thee (LSB 702) The King of Love My Shepard Is (LSB 709) The Lord s My Shepherd, I ll Not Want (LSB 710) How Firm A Foundation (LSB 728) I Am Trusting Thee, Lord Jesus (LSB 729) O God, Our Help in Ages Past (LSB 733) Jesus, Priceless Treasure (LSB 743) Amazing Grace (LSB 744) Abide with Me (LSB 878) Funeral Home and Visitation Name of Funeral Home: Location: Have you done any pre-planning with the funeral home? (Circle One): Yes / No Visitation Location (Check One): Funeral Home The Church Final Viewing Location (Check One): Funeral Home The Church 3 P a g e

4 Cemetery/Internment Internment (Check One): In the Ground Mausoleum Cremation -Disposition of Ashes [] Trinity Prayer Garden [] Columbarium [] Other Name of Cemetery: Location: Do you want the pastor present during the internment for a committal? (Circle One): Yes / No / Unsure Funeral Reception/Luncheon Will there be a reception or luncheon? [] YES [] NO At Trinity? [] YES [] NO If not at Trinity, where Memorial Gifts It is wise to share with your next of kin where memorial gifts are to be directed so that there is no confusion. Recipients Include: Trinity Lutheran Church Other Planned Giving (Optional Section) I/We have included Trinity Lutheran Church in my/our will. I/We have planned another type of deferred gift. 4 P a g e

5 (Please list: life insurance, gift-annuity, charitable trust, etc.): If you have checked one of the above options, you may wish to note the following: Trinity Lutheran Church is included in my/our estate plan for: Percentage: % Fixed Amount: $ Please share any additional details or request: Signature Print Name Do you desire a visit with the pastor to discuss these plans? (Circle One): Yes / No Please return to: Trinity Lutheran Church, 300 S Ardmore Ave., Villa Park, IL P a g e