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On behalf of the Bishop, Priests, Deacons, and our entire congregation, we are sorry for your profound loss. In this preparation and planning phase, we are honored and humbled that you have chosen Jesus Christ & His Church. As a note, once we receive your completed & submitted form; our team will provide you, your immediate, and extended family with a way forward during this difficult time. With regards to finances, our team will contact you with the associated fees.
I understand.
Today's Date
*
Date
Time
Legal Name of the Deceased at the time of Death
*
First
Last
Mortuary for the
Address of the Deceased at the time of Death
*
Address Line 1
Address Line 2
City
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State
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Common name (i.e. Jim/ James)
Pronunciation if name is commonly mispronounced
Age of Death
*
Date of Birth
*
Date of Death
*
Which Church has the deceased regularly attended? (Please include city & state)
What is the name of the Mortuary / Undertaker / Funeral Home? (Please include telephone number)
*
What is the name of the person from the Mortuary / Undertaker / Funeral Home who assisted in the funeral process?
*
Link to Online Obituary / Website
Visual
Code
Your name (Relative or Friend) Contact Person
*
First
Last
Your Telephone Number
*
Your Email Address
*
Your Address
*
Address Line 1
Address Line 2
City
— Select state —
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Would you like to have a Vigil Service (Viewing + Scripture + Reflection + Rosary lead by a Deacon or Priest?)
*
Yes
No
Time of Vigil / Viewing
*
Date
Time
What is the name of the Church or Venue where the Vigil will be taking place?
*
Location of Vigil / Viewing
*
Address Line 1
Address Line 2
City
— Select state —
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California
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Connecticut
Delaware
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State
Zip Code
Will the deceased be in a casket or cremated?
*
Casket / Body
Cremated / Ashes
No body / No Ashes
Language of the Vigil / Viewing
*
English
Spanish
English & Spanish
English & American Sign Language
Would you like the deceased to have a funeral mass?
*
Yes
No
Would you like to have a Memorial Service instead? (No Holy Communion)
*
Yes
No
Date / Time
*
Date
Time
ATTENTION: Call the Church that you want the funeral service to be held at: to schedule & confirm the day and time, then input it here.
Name of the Place where the Memorial Service will take place
*
Location of Memorial Service
*
Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
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California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Massachusetts
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Vermont
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Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Will the deceased be in a casket or cremated?
*
Casket / Body
Cremated / Ashes
No body / No Ashes
Language of the Memorial Service
*
English
Spanish
English & Spanish
English & American Sign Language
The Funeral will be held at:
St. Mary’s Catholic Church, Fullerton
Estimated Attendance
Time of Day you prefer to have the Funeral mass?
*
10:30 am
Would you, or members of the family, or friends, like to give words of remembrance before the funeral mass starts? This would involve 1 person coming up to the microphone in front of everyone and sharing their experience with the deceased. This would require the whole family being present at 10:15.
*
Yes
No
The Words of Remembrance should be written out in their entirety. Sometimes even the best-intentioned speaker is overcome with emotion-this allows someone else to complete the reflection if the original speaker is not able to. The Words of Remembrance should be limited to around 5-10 minutes. The time allotted to the words of remembrance should not detract from the order of Mass; also, cemetery staff may be expecting the funeral party to arrive in a timely manner. Another family member or friend may stand next to you for support and comfort if needed. Remember that some stories or thoughts are best saved for a gathering outside of the Church.
Names of those who will be sharing
*
I want the Funeral Mass said in the following language(s)
*
English
Spanish
English & Spanish
English & American Sign Language
Will the deceased be in a casket or cremated?
*
Casket
Cremated
No body / No Ashes
Please tell us how many Pall Bearers (family / friends) will be walking the casket down the aisle at the beginning and end of the Funeral Service? If this does not apply, type N/A
*
Please select the readings.
*
I will choose the readings, psalms, prayers of the faithful, and gospel for the funeral mass & who will be reading them.
I want
*
The First reading in English, Psalm (read or sung) in Spanish, Second Reading in Spanish, Gospel in English, Homily in English, Prayers of the Faithful in Spanish
The First reading in Spanish, Psalm (read or sung) in English, Second Reading in English, Gospel in Spanish, Homily in Spanish, Prayers of the faithful in English.
I want
*
The First reading in American Sign Language (Interpreter voicing English), Psalm in English (Interpreter signing), Second reading in ASL (Interpreter Voicing English), Gospel in English (interpreter signing), Homily by Priest or Deacon (interpreter signing), Prayers of the Faithful in ASL (Interpreter voicing them)
The First reading in English (interpreter signing), the Psalm signed in ASL (interpreter voicing), Second reading in English (interpreter signing), Gospel & Homily in English (interpreter signing), Prayers of the Faithful in ASL (interpreter voicing them)
First Reading – English
*
C1 – 2 Maccabees 12: 43-46
C2 – Job 19:1-2, 3-27a
C3 Short Version – Wisdom 3:1-6, 9 Short Version
C3 Long Version – Wisdom 3:1-9
C4 – Wisdom 4:7-15
C5 – Isaiah 25:6a, 7-9
C7 – Daniel 12: 1-3
C8 Short Version – Acts 10:34-36, 42-43
C8 Long Version – Acts 10:34-43
C9 – Revelation 14:13
C10 – Revelation 20:11 – 21:1
C11 – Revelation 21:1-5a, 6b-7
First Reading (Spanish)
*
C1 – Job 19, 1 23-27
Isaias 25, 6a. 7-9
Lamentaciones 3, 17-26
Daniel 12, 1-3
The person who we will be doing the First Reading is:
*
A Family Member / Friend: (Who is a practicing Catholic)
We would like the church to provide someone to do this for us.
Name of your Family Member / Friend doing the first reading:
*
Psalm (English)
*
Psalm 23 (Most Common)
Psalm 25
Psalm 27
Psalm 42
Psalm 103
Psalm 116
Salmo (Spanish)
*
Salmo 22 (23)
Salmo 24 (25)
Salmo 26 (27)
Salmos 41 (42) y 42 (43)
Salmo 62 (63)
Salmo 102 (103)
Salmos 114 (115) y 115 (116)
Salmo 121 (122)
Salmo 129 (130)
Salmo 142 (143)
The person doing the Psalm is:
*
A Family Member / Friend: (Who is a practicing Catholic)
We would like the church to provide someone to READ this for us.
We would like the musician(s) to sing this. (Most Common)
Name of your Family Member / Friend doing the Psalm:
*
Second Reading (English)
*
E1 – Romans 5:5-11
E2 – Romans 5:17-21
E3 – Short – Romans 6:3-4, 8-9
E3 – Long – Romans 6:3-9
E4 – Romans 8:14-23
E5 – Romans 8:31b-35, 37-39
E6 – Romans 14:7-9, 10c-12
E7 – Short – 1 Corinthians 15:20-23
E7 – Long – 1 Corinthians 15:20-28
E8 – 1 Corinthians 15:51-57
E9 – 2 Corinthians 4:14-5:1
E10 – 2 Corinthians 5:1 – 6:10
E11 – Philippians 3:20-21
E12 – 1 Thessalonians 4:13-18
E13 – 2 Timothy 2:8-13
E14 – 1 John 3:1-2
E15 – 1 John 3:14-16
Second Reading (Spanish)
*
Hechos 12, 43-46
Romanos 5, 5-11
Romanos 8, 31b-35 37-39
2 Corintios 4, 14-5, 1
2 Corintios 5, 1 6-10
Filipenses 3, 20-21
1 Tesalonicenses 4, 13-18
2 Timoteo 2, 8-13
1 Juan 3, 1-2
1 Juan 3, 14-16
The person who will be doing the second reading is:
*
A Family Member / Friend (Who is a practicing Catholic)
We would like the church to provide someone to do this for us.
Name of your Family Member / Friend doing the second reading:
*
Please choose one of the following for the Gospel that will be proclaimed by the Priest or Deacon
*
G1 – Mathew 5:1-12a
G2 – Mathew 11:25-30
G3 – Mathew 25:1-13
G4 – Mathew 25:31-46
G5 – Short – Mark 15:33-39
G5 – Long – Mark 15:33-39, 16:1-6
G6 – Luke 7:11-17
G7 – Luke 12:35-40
G8 – Luke 23:33, 39-43
G9 – Short – Luke 23:44-46, 50, 52-53
G9 – Long – Luke 23, 44-46, 50, 52-53; 24:1-6a
G10 – Short – Luke 24:13-16, 28-35
G10 – Long – Luke 24:13-35
G11 – John 5:24-29
G12 – John 6:37-40
G13 – John 6:51-59
G14 – Short – John 11:21-27
G14 – Long – John 11:17-27
G15 – John 11:32-45
G16 – Short – John 12:23-28
G16 – Long – John 12:23-28
G17 – John 14:1-6
G18 – John 17:24-26
G19 – John 19:17-18, 25-39
Gospel (Spanish)
Mateo 5, 1-12a
Mateo 11, 25-30
Mateo 25, 1-13
Mateo 25, 31-46
Marcos 15, 33-39
Lucas 7, 11-17
Lucas 23, 33, 39-43
Lucas 23, 44-46, 50, 52-53, 24, 1-6a
Lucas 24, 13-16, 28-35
Juan 5, 24-29
Juan 6, 37-40
Juan 11, 17-27
Prayers of the Faithful (Spanish)
Plegarias 1
Plegarias 2
Prayers of the Faithful
*
A
B
The person who will be doing the Prayers of the Faithful is:
*
I would like the following person to read these. (Who is a practicing Catholic)
We would like the church to provide someone to do this for us.
The person who will be doing the Prayers of the Faithful is:
*
Please give us the names of 2-3 people who will be bringing up the gifts of the Bread & Wine to the Priest
*
When the priest finishes his homily / preaching, he will sit down for about 1 minute. He will stand up, about 2 minutes of prayers will take place. Then at this time, 2-3 people will enter the main isle, walk to pick up the bread and wine and give it to the priest and the altar server. These 2-3 people will then receive a small blessing and return to their seats.
Would you like to share some information about your loved one? This helps the deacon or priest get a better understanding to suit the occasion.
*
Yes
No
Names of relatives that could be mentioned (include spouse, children, and number in family such as grandchildren, siblings, parents, stepchildren, etc.
Where was the deceased born? Where were they baptized? When did they come to St. Mary's Parish?
Faith life: Were they a practicing Catholic? Were they active in the Church? Attended Mass?
How person died (Sudden/accident or a long term illness?
Person's occupation (include military service, hobbies, interests).
How would you best describe the person's qualities? Give an example.
Other information you would like Father to be aware of (including special family situations or interesting, amusing anecdotes).
You may drag & drop any files in the box below to inform us of the life of your loved one.
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Code
Do you want to have a graveside service at a cemetery?
*
Yes, immediately following the funeral mass or memorial service.
Yes
Yes, but on a different day.
No
Name of Cemetery
*
Date / Time
*
Date
Time
Address of Cemetery
*
Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Plot # of the Deceased
*
Music for English & Spanish
*
Please choose the songs (Which have been approved by the Church).
We would like to hire a mariachi band. Please give us more details. I.e. costs & limitations to what music is allowed to be played.
Hymns with an * indicate they are not available for choosing during the season of Lent, as they contain “Alleluia” and we refrain from that during Lent.
Prelude (Song played immediately before the mass / service begins).
Ave Maria (Schubert)
Do Not Let Your Be Troubled
You are Mine
How Great Thou Art
None
Entrance / Processional
Entre Tus Manos
Amazing Grace
Juntos Como Hermanos
Be Not Afraid
Una Vida Nueva
On Eagle’s Wings
Adios Reina Del Cielo (s)
Here I am Lord
Creo Que Cristo Vive
How Great Thou Art
Cuan Grande es El
*For All the Saints
Hacia Ti, Morada Santa
Las Puertas de la Nueva Cuidad
Mas alla del Sol
Sublime Gracia
Sublime Gracia (Yo Libre Soy)
Offertory / Preparacion – English & Spanish
*
Te Ofrezco, Señor, Mi Vida
Yo Lo Ofrezco
Abre Mis Ojos
Donde Hay Amor y Caridad
Dios Te Salve Maria
Entre Tus Manos
Oracion de San Francisco
Organ Alone / Organ Solo
Ave Maria (Schubert)
Prayer of St. Francis
Be Thou Vision
I Have Loved You
Precious Lord
Take My Hand
Communion / Communion English & Spanish
*
El Que Coma de Este Pan
Entre Tus Manos
Eres Tu, Jesus
Tu Nos Invitas, Jesus
Dale el Descanso
Pan De Vida
Tu Cuerpo y Sangre Señor
Como por las Fuentes de Agua
Tu Vas Conmigo
Organ Alone / Organ Solo
I Am the Bread of Life
Gift of Finest Wheat
Panis Angelicus
Taste and See
Sancti Venite, Christi Corpus Sumite (Brebeuf Hymnal, #450, 3rd Tune ENGLISH) *Not used during Lent
For the Wings of a Dove – Mendelssohn (Vocal Soloist)
Communion / Comunion Second Song *IF NEEDED
*
El Que Coma de Este Pan
Entre Tus Manos
Eres Tu, Jesus
Tu Nos Invitas, Jesus
Dale el Descanso
Pan De Vida
Tu Cuerpo y Sangre Señor
Como por las Fuentes de Agua
Tu Vas Conmigo
Organ Alone / Organ Solo
I am the Bread of Life
Gift of Finest Wheat
Panis Angelicus
Taste and See
Sancti Venite, Christi Corpus Sumite (Brebeuf Hymnal, #450, 3rd Tune) *Not used during Lent
For the Wings of a Dove – Mendelssohn (Vocal Soloist)
Communion / Comunion Third Song *IF NEEDED
El Que Coma de Este Pan
Entre Tus Manos
Eres Tu, Jesus
Tu Nos Invitas, Jesus
Dale el Descanso
Pan De Vida
Tu Cuerpo y Sangre Señor
Como por las Fuentes de Agua
Tu Vas Conmigo
I am the Bread of Life
Gift of Finest Wheat
Panis Angelicus
Taste and See
Sancti Venite, Christi Corpus Sumite (Brebeuf Hymnal, #450, 3rd Tune-ENGLISH) *Not used during Lent
Final Commendation / Cantico de Despidida
In Paradisum (Traditional Latin Chant)
Ave Maria (Schubert)
Song of Farewell – Old Hundredth
Song of Farewell – Ernest Sands
Concedeles el Descanso Eterno
Canto de Despedida
Despedida
Que Los Ángeles Te Lleven al Paraiso (Cordova)
Recessional
On Eagles Wings
Take me Home
There is Peace
The Hand of God Shall Hold You
The King of Love My Shepherd is
Music (Spanish)
*
Please choose the songs (Which have been approved by the Church).
We would like to hire a mariachi band. Please give us more details. I.e. costs & limitations to what music is allowed to be played.
If you wish to have Solo Organ music (not a hymn) for any part of the Mass, please select “ORGAN ALONE” for that choice. Hymns with an * indicate they are not available for choosing during the season of Lent, as they contain “Alleluia” and we refrain from that during Lent. Si desea tener música de órgano solista (no un himno) para cualquier parte de la Misa, seleccione “ÓRGANO SOLO” para esa opción.
Prelude – Spanish (Song played immediately before the mass / service begins)
*
Ave Maria (Schubert)
Do Not Let Your Hearts Be Troubled
You Are Mine
How Great Thou Art
None
Other:
Entrance
*
Entre Tus Manos
Juntos Como Hermanos
Una Vida Nueva
Adios Reina Del Cielo (S)
Creo que Cristo Vive
Cuan Grande es El
Hacia Ti, Morada Santa
Las Puertas de la Nueva Cuidad
Mas alla del Sol
Sublime Gracia
Sublime Gracia (Yo Libre Soy)
Offertory / Preparacion
*
Te Ofrezco, Senor, Mi Vida
Yo Tel Lo Ofrezco
Abre Mis Ojos
Donde Hay Amor y Caridad
Dios Te Salve Maria
Entre Tus Manos
Oracion de San Francisco
Communion / Comunión – Las Canciones
*
El Que Coma de Este Pan
Entre Tus Manos
Eres Tu, Jesus
Tu Nos Invitas, Jesus
Dale el Descanso
Pan De Vida
Tu Cuerpo y Sangre Señor
Como por las Fuentes de Agua
Tu Vas Conmigo
Communion – Second Song *IF NEEDED
*
El Que Coma de Este Pan
Entre Tus Manos
Eres Tu, Jesus
Tu Nos Invitas, Jesus
Dale el Descanso
Pan De Vida
Tu Cuerpo y Sangre Señor
Como por las Fuentes de Agua
Tu Vas Congmigo
Communion / Communion- Third Song *IF NEEDED
*
El Que Coma de Este Pan
Entre Tus Manos
Eres Tu, Jesus
Tu Nos Invitas, Jesus
Dale el Descanso
Pan De Vida
Tu Cuerpo y Sangre Señor
Como por las Fuentes de Agua
Tu Vas Conmigo
Cantico de Despidida
*
Concedeles el Descanso Eterno
Canto de Despedida
Despedida
Que Los Ángeles Te Lleven al Paraiso (Cordova)
Recessional
*
On Eagles Wings
Take Me Home
Amazing Grace
There is Peace
The Hand of God Shall Hold You
The King of Love My Shepherd Is
Music for the Mass (English)
*
Please choose the songs (Which have been approved by the Church).
If you wish to have Solo Organ music (not a hymn) for any part of the Mass, please select “ORGAN ALONE” for that choice. Hymns with an * indicate they are not available for choosing during the season of Lent, as they contain “Alleluia” and we refrain from that during Lent. Si desea tener música de órgano solista (no un himno) para cualquier parte de la Misa, seleccione “ÓRGANO SOLO” para esa opción.
Prelude- English
*
Ave Maria (Schubert)
Do Not Let Your Hearts Be Troubled
You Are Mine
How Great Thou Art
None
Entrance / Processional
*
Amazing Grace
Be Not Afraid
On Eagle’s Wings
Here I Am Lord
How Great Thou Art
*For All the Saints
Offertory / Preparation of the Altar
*
Ave Maria
Prayer of St. Francis
Be Thou My Vision
I Have Loved You
Precious Lord
Take My Hand
Communion
*
I Am the Bread of Life
Gift of Finest Wheat
Panis Angelicus
Taste and See
Sancti Venite, Christi Corpus Sumite (Brebeuf Hymnal, #450, 3rd Tune) *Not used during Lent
For the Wings of a Dove – Mendelssohn (Vocal Soloist)
Communion – 2nd Song – *If needed
*
I am the Bread of Life
Gift of Finest Wheat
Panis Angelicus
Taste and See
Sancti Venite, Christi Corpus Sumite (English Lyrics), Brebeuf Hymnal, #450, 3rd Tune) *Not used during Lent
For the Wings of a Dove – Mendelssohn (Vocal Soloist)
Communion – Third Song – *If needed
*
I am the Bread of Life
Gift of Finest Wheat
Panis Angelicus
Taste and See
Sancti Venite, Christi Corpus Sumite (English Lyrics), Brebeuf Hymnal, #450, 3rd Tune) *Not used during Lent
For the Wings of a Dove – Mendelssohn (Vocal Soloist)
Final Commendation (Incensing the Casket or Urn)
*
In Paradisum (Traditional Latin Chant)
Ave Maria
Song of Farewell -Old Hundredth
Song of Farewell -Ernest Sands
Recessional / Closing
*
How Great Thou Art
Let There Be Peace on Earth
Holy God We Praise Thy Name
Song of Farewell
Joyful Joyful We Adore Thee
Soon and Very
You Raise Me Up
All Creature of Our God and King (Not Used During Lent)
Additional Requests
Guestbook Stand
Table for Pictures / Prayer Cards
1 Easel
2 Easels
Do you need an American Sign Language interpreter for this funeral mass or memorial service?
*
Yes! I know where to find the request form and I will fill it out.
Yes! Please inform me where I can fill-out the request form.
No.
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Upon submission of this form our bereavement team will be contacting you to come to visit the parish to review your selections, but moreover to see how we can support you and your family during this difficult time.
*
I understand and welcome the upcoming meeting with the bereavement team.
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*
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