Funeral, Memorial or Graveside Service Information Form. The person this service is being planned for is:

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Today s date: The person this service is being planned for is: Their name exactly as it should appear in the worship bulletin: _ The person s date of birth: If deceased, the person s date of death: The person providing this information is: Your relation to person the service is being planned for: Your address: _ Phone: Cell phone: Email: _ If we can t get in touch with you, another family member, caregiver or friend is: Relation to person the service is being planned for: _ Address: Phone: Cell phone: Email: _ The service we are planning is a: Funeral or Memorial service at Christ Church: Remains: Body Ashes No remains present Graveside service, before or after the church service: Committal of ashes at the Christ Church Columbarium (niche must be purchased) Committal of remains at a cemetery or other location: Other: please describe your intentions: If at Christ Church: Reception at Christ Church by the Hospitality Ministry Estimate of number of family for reserved seating: Photo projection: family or funeral home may prepare photos for projection Photo table: family may bring photos for display Memorials: any ministry or charity may be listed in the worship bulletin for donations: The funeral home is: Contact name: _ Phone: 1

The clergy and music minister will be pleased to plan a beautiful Funeral or Memorial service with as little or as much input as you wish to provide. The customary order of service is outlined below: Prelude (music or silence as people are seated; photos may be projected) Opening anthem (encouraging scriptures) and prayer Opening hymn Scripture readings Family remembrances (optional) Homily (sermon) Reassurance of faith (Apostle s Creed) and prayers for the deceased and family Communion (optional) Commendation (prayer commending the deceased to the care of God) If the deceased is a US veteran: military honors (flag presentation and Taps by military honor guard) Closing hymn & dismissal Scripture and music suggestions follow this outline. If you need further detail, see the Book of Common Prayer, pp. 491-505 (contemporary language, Rite Two); an equivalent service in more traditional language is outlined on pp. 469-489 (traditional language, Rite One). The Graveside service, called The Committal, is included in each Rite. You may obtain a copy of the Book of Common Prayer from the church, or view on-line at sites like www.bcponline.org. Please indicate any preferences below: Style of service: Contemporary language (Rite Two) Traditional language (Rite One) Communion: Yes No Music: Traditional or contemporary musical selections are welcome as long as they are oriented towards the praise of God: Prelude: Silence Music Photo projection Opening hymn: Communion Offertory hymn: Communion hymns (1-3 selections): _ Closing hymn: _ Scripture: One to four readings are recommended. If there is to be Communion, a Gospel reading should be included: Old Testament: Psalm: _ New Testament: Gospel: Military honors (coordinated with military authorities by the family): Yes No 2

Suggested Scripture: The clergy will be pleased to consult on scripture readings. Suggestions include: Old Testament (and Apocrypha) Isaiah 25:6-9 (He will swallow up death for ever) Isaiah 61:1-3 (To comfort all those who mourn) Lamentations 3:22-26, 31-33 (The Lord is good unto them that wait for him) Wisdom 3:1-5, 9 (Apocrypha) (The souls of the righteous are in the hands of God) Job 19:21-27a (I know that my Redeemer lives) Psalms Psalm 23 (The Lord is my shepherd) Rite I or Rite II version Psalm 27 (The Lord is my light and my salvation: whom shall I fear?) Psalm 42 (As a deer longs for flowing streams, so my soul longs for you, O God) Psalm 90 (Lord, you have been our dwelling place in all generations) Psalm 116 (I love the Lord, because he has heard my voice and my supplications) Psalm 121 (I lift up my eyes to the hills from where will my help come?) Psalm 130 (out of the depths I cry to you. O Lord) Psalm 139 (O Lord, you have searched me and known me) New Testament Romans 8:14-19, 34-35, 37-39 (Death nor life will separate us from the love of God) 1 Corinthians 15:20-26, 35-38 42-48. 53-58 (The imperishable body) 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 make all things new) Gospel John 5:24-27 (He who believes has everlasting life) John 6:37-40 (All that the father gives me will come to me) John 10:11-16 (I am the good shepherd) John 11:21-27 (I am the resurrection and the life) John 14:1-6 (In my Father s house are many rooms) 3

Suggested Music: The clergy and music minister will be pleased to consult on musical selections. Suggestions from the Hymnal (1982) include: Alleluia # 1 (178) Love s Redeeming Work is Done (188) Jesus Lives! (194) Jesus Christ is Risen Today (207) Alleluia! The Strife is O'er (208) For All the Saints (287) I am the Bread of Life (335) Give Rest, O Christ, to Your Servants (355) May Choirs of Angels Lead You (356) Jesus, Son of Mary (357) Christ the Victorious (358) Praise the Lord (373) Joyful, Joyful (376) God is Love, Let Heaven Adore Him (379) O Worship the King (388) Blessed Be the God Of Israel (444) Thou Art the Way (457) Come My Way, My Truth, My Life (487) Lord God You Have Set Your Servant Free (499) How Lovely is Thy Dwelling Place (517) The Church s One Foundation (525) Eternal Father, Strong to Save (608) Ye Watchers and ye Holy Ones (618) Jerusalem, my Happy Home (620) Ye Holy Angels Bright (625) If Thou but Trust in God to Guide Thee (635) How Firm a Foundation, Ye Saints of the Lord (636) The King of Love, My Shepherd Is (645) As Longs The Deer for Cooling Streams (658) The Lord My God my Shepherd Is (663) My Shepherd Will Supply my Need (664) All My Hope On God is Founded (665) I to the Hills Will Lift Mine Eyes (668) Amazing Grace! How Sweet the Sound (671) O God, Our Help in Ages Past (680) A Mighty Fortress is Our God (688) Guide Me, O Thou Great Jehovah (690) I Heard the Voice of Jesus Say (692) Other suggestions include: In Christ Alone Amazing Grace/Chains I Will Rise Here I am Lord On Eagle s Wings How Great Thou Art It is Well with my Soul Other: 4

Participants in the service: The clergy ensure that all needs at the Funeral or Memorial service are taken care of by caring and trained staff or lay ministers. However, if desired, there can be meaningful opportunities for family and friends to participate in the service. This is completely optional. If desired, please indicate suggested participants below: Ushers: Help greet guests, pass out bulletins, assist them in finding seats, etc.: Readers: Read passages of scripture: Prayers: Recite written prayers from the liturgy: Servers: Crucifer, acolytes and chalice bearers should be familiar with Anglican worship: Remembrances: Typically, 1-2 family members or friends may be pre-arranged to share brief remembrances in consultation with the clergy: Singers or musicians: Musically skilled individuals may help lead worship, in consultation with the clergy and music minister: Pall bearers: Depending on arrangements with the funeral home, pall bearers may not actually handle the coffin or remains, though they may assist in placing the coffin in the hearse. They may enter/exit the service with the family and be listed in the worship bulletin: # # # Is there anything else you d like us to know? 5