Death report/Funeral request form

Question Title

* 1. Contact info:

Name

Email Address

Phone Number

Question Title

* 2. Sojourn church affiliation of deceased:

Member

Regular attendee

Occasional attendee

Not affiliated

Question Title

* 3. Name of the deceased

Question Title

* 4. Name of funeral home:

Question Title

* 5. Persons related/affiliated from Sojourn church

Question Title

* 6. Visitation arrangements

Question Title

* 7. Funeral arrangements

Question Title

* 8. I would like ... (check all that apply)

A Sojourn pastor or leader to speak at the funeral/burial

To use the Sojourn facility for the viewing and/or funeral

Grief care/prayer/support

Other (please specify)