Saint Rose Philippine Duchesne · Anthem, Arizona

Funeral Planning Form

We are here to walk with you. Fill out as much as you can — anything left blank can be settled when we meet. When you submit, this opens a pre-filled email to our Funeral Ministry so nothing is lost.

Only the name of the deceased is required. For the readings and music, refer to the options listed in the Funeral Guide.

Deceased & Family

Funeral of *

Date of Birth

Date of Death

Age

Catholic / Non-Catholic

Catholic Non-Catholic

Family Contact Person

Contact Email

Contact Phone

Family Street Address

City / State

Spouse / Parents of the Deceased

Service Details

Funeral Home

Cemetery

Service Type (select all that apply)

Casket Urn Mass of Burial Service at Funeral Home Graveside Service Only

Date of Mass / Service

Time of Mass / Service

Burial Date / Time

Place of Burial

Presiding Clergy / Celebrant

Altar Server

Readings & Music

Choose readings and songs by their number from the Funeral Guide. The Gospel is chosen by the priest or deacon.

First Reading (Old Testament)

First Reading — Reader

Responsorial Psalm

Second Reading (New Testament)

Second Reading — Reader

Gospel Notes

Eulogy — Who is Speaking

Gift Bearers (Bread & Wine)

Pallbearers

Opening Song

Preparation Song

Communion Song

Recessional Song

Sacraments Received

Baptism Communion Confirmation Marriage Anointing

Miscellaneous

Guest Book Easel for Picture / Collage Table for Pictures / Card Basket Biography with Picture

Other Notes

Anything else we should know?

Submitting opens a pre-filled email to the Saint Rose Funeral Ministry. Please press send in your mail app to deliver it.

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