Catholic Parishes of Adams & Cheshire

Deceased's Information

Name of Deceased

Address

Date of Birth

Age

Date of Death

Date of Funeral

Time of Funeral

Type of Service

Funeral Mass Rite Without Mass

Location for Funeral Mass

St. Mary's Church Notre Dame Church St. Stanislaus Kostka Mission Church Cemetery Funeral Home Other

Funeral Celebrant

Concelebrant (if applicable)

Remains

Full Body Cremains

Will there be a graveside or mausoleum service following the funeral?

Yes No

Burial Date

Cemetery Name & Location

Family Contact Information

Next of Kin Name

Relationship to Deceased

Address

Phone

Funeral Home Information

Funeral Home Name

Address

Funeral Director Name

Phone

Alternate Phone

Viewing Location (if applicable)

Date of Viewing (if applicable)

Viewing Hour Times (if applicable)

Funeral Details - Readings & Music

Please reference the following forms for selecting music and readings, plus the length of Funeral Mass. If this information is not immediately available, please feel free to print the forms and complete separately.

Funeral Planning - Guidelines

Who will select the readings? If the family, please fill in the fields below.

Clergy Family

Funeral Format ( Length)

Sunday Mass Format (longer) - Two Readings (one Old Testament and one New Testament) Daily Mass Format (shorter) - One Reading (either Old or New Testament)

First Reading

First Reader

Second Reading (if applicable)

Second Reader (if applicable)

Will a Eulogy (Remarks of Remembrance) be delivered?

Yes No

Remarks of Remembrance by: (if applicable)

Please contact the Parish Music Director to discuss music options.

Reception

Families are welcome to rent the parish hall at St. Mary's for a reception following a funeral at this location.

Is the family interested in renting the parish hall for a reception? Yes No

Fees

Church Fee: $200.00
*If an in-church Mass or service, $200 is made payable to:
St. John Paul II Parish (funerals at Notre Dame Church or St. Stanislaus Churches) or St. Mary of the Assumption Parish
**If funeral home service, $100 is made payable directly to the priest and $100 is made payable to the parish

Organist: $200.00
*Made payable to the organist directly

St. Stanislaus Cemetery Rates:
Full Body
     M-F $450
     M-F (winter) $650
     Sat $650
     Sat (winter) $850
Cremains
     M-F $225
     M-F (winter) Not Available
     Sat $275
     Sat (winter) Not Available

Hall Rental:

The St. Mary's Parish Hall is available to rent for St. Mary's funerals: $75.00 - parishioners / $150.00 - non-parishioners

Obituary

Please upload obituary here:

Upload (8MB)

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Catholic Parishes of Adams & Cheshire - Funeral Registration

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Catholic Parishes of Adams & Cheshire - Funeral Registration

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