Funeral Liturgy Planning Form

Name of Deceased*

Prefix First Last Suffix

Contact Info

Please fill in the contact info of the person filling out this form.

Name*

First Last

Relationship to Deceased*

Email*

Phone*

Placing of the Pall

The Priest meets the casket at the back of Church and leads the procession in. Once the casket is in place at the head of the aisle, the "Pall," a white cloth symbolizing the garment of Baptism, is placed over the casket. This will be done by (check one):

Pall will be placed by:*

Funeral Director
Family Members/Friends

Names of Family Members/Friends Placing Pall*

Name	Relationship to Deceased

Please indicate the name and relationship to the deceased of 2, 3, or 4 people who will place the pall. Press the plus sign to add more people.

Placing of Christian Symbol (optional)

A symbol of Christian life, such as a Bible, Cross, Rosary or Prayer Book that was meaningful to the Deceased may be placed on the casket after the pall covers the casket.

Will there be a Christian symbol?*

Yes
No

The symbol will be:*

It will be placed by:*

Please indicate name and relationship to the deceased.

Scripture Readings

Please see our list of suggested Scripture readings. If you would like a Scripture reading that is not in that list, please add the name of the book, chapter and verse.

Old Testament Readings*

Please indicate Old Testament book, chapter and verse:*

The first reading is taken from the Old Testament (except the Psalms).

Old Testament reading read by:*

Please indicate the name and relationship to the deceased.

New Testament Readings*

Please indicate New Testament letter, chapter and verse:*

The second reading is taken from one of the letters of the New Testament.

New Testament reading read by:*

Please indicate the name and relationship to the deceased.

General Intercessions

The General Intercessions (also known as the Prayer of the Faithful or the Petitions) come after the homily. They are the community's prayers for immediate needs and the needs of the world.

Would you like a family member or friend to lead the General Intercessions?*

Yes
No

General Intercessions lead by:*

Please indicate the name and relationship to the deceased.

Presentation of the Gifts of Bread and Wine

Names of Family Members/Friends who will bring the gifts:*

Name	Relationship to Deceased

Please indicate the name and relationship to the deceased of 2, 3, or 4 people who will bring the gifts to the altar. Press the plus sign to add more names.

Words of Remembrance

The family is welcomed to choose one person to offer a personal reflection after Communion. The reflection is usually more personal about the deceased, speaking of values and virtues. It should be prepared beforehand and written out. It is requested that a copy be given to Elaine LaFollette no later than the day before the funeral. The person giving the reflection should be aware of the sacredness of the occasion and the Church setting. Please limit remarks to a 4-5 minute maximum. The remarks should not take precedence over the homily, but should be a simple, personal reflection of the person's life. It is fine to mention one or two short stories, but beyond that it is not possible to sum up a person's life in those moments-- nor is it necessary. Allow the deceased person's life to speak for itself.

Will there be Words of Remembrance at the funeral Mass?*

Yes
No

Words of Remembrance will be offered by:*

Please indicate the name and relationship to the deceased of the person offering the Words of Remembrance.

Music

Music for the Mass of Christian burial will be offered by our organist and cantor. Congregational singing is an integral part of Mass. However, one or two solos by our cantor are possible. Musical selections should reflect the sense of hope and peace given to us in the Resurrection of Jesus. By nature, they should be religious or spiritual. Any secular songs or CD's will only by allowed prior to the beginning of Mass and only if they are appropriate for the Church setting. Hymns suggested will be used if they are known by the people involved with the Music Ministry. Our organist, Jane Moore-Price, is available to assist you (315-637-8570).

Hymns requested for Mass:*

Please see our list of suggested music if you need help. If you would like for our organist to choose the music, please indicate above.

Homily Hints

Please include some values, virtues, interests, etc. about your loved one that will help the priest get to know him/her a little better.

Homily Hints*

Special Needs/Requests

Is there anything else that you need to add regarding the funeral Mass in general?

Comments

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