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Funeral Preparation Form
Please note that this form can be used to prepare for a funeral of a person who is deceased, and it can also be used to prepare for a presently living person who wants to have their choices and options noted in advance. Wherever the form asks for information about the "nominee/ deceased" it is asking information about the person you are planning/pre-planning a funeral for
Please select the most accurate answer for why you are filling out this form
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As an advanced preparation to let family, funeral directors and parish know my future plans
To prepare for a funeral where the death of the nominee appears to be imminent
To begin preparation for a funeral where the person nominated has already passed away
Please select which type this application is:
This is an advance preparation to plan ahead for the future
Preparation for a person who is deceased
Preparation for a person who is approaching death
Full given names of person whom you are preparing funeral arrangements for: (including first name and all given middle names and surname. (that is, the nominee/deceased)
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IF the nominee/deceased has a name they are widely known as, if so, please write here. IF not, please write their given first name here:
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Date of birth of nominee
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For women: Maiden surname. Did the nominee/ deceased have a maiden name prior to marriage. If so, please write here: (if not applicable, please leave blank)
Place of birth of Nominee
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If applicable, date of death of nominee
if applicable, place of death of nominee
name of person who is completing this form: (please note, this is asking for the name of person who is filling out the form and who will be the contact for further information).
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Contact address of person preparing this form:
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contact phone number of person preparing this form:
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Email address of contact person
Was this person baptised/ Christened. If so, please write church denomination and if known approximate date and place. if not, please write: "Not Baptised," or if you are not sure, please write "not known"
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Did the nominee have a patron Saint(s), or Confirmation name or a saint they were particularly devoted to? If so, please write the name of the Saint(s) here:
Please select one of the following options: (If there are very few people who are familiar with a Mass/Eucharist, it is recommended that a prayer service be conducted instead).
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Christian Funeral Prayer service in the catholic church, concluding at the church.
Christian Funeral Mass (Requiem Mass) in the catholic church, concluding at the church
Christian Funeral Prayer service in the catholic church followed by commital at gravesite
Christian Funeral Mass (Requiem Mass) in the catholic church followed by commital at gravesite
Christian Funeral Prayer service at a crematorium chapel, all concluding there
Christian Funeral Prayer service all at the gravesite
Christian Funeral Prayer service in the catholic church followed by short commital service at crematorium chapel
Location: (Please note that funerals at Surfers Paradise Church are normally conducted at the Sacred Heart Church, Clear Island Waters, due to logistical issues).
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Sacred Heart Catholic Church, Clear Island Waters
Other, please specify:
Other, please specify:
Please select one of the following choices for your Funeral Directors (local)
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Above & Beyond Funerals
Gentle Touch Funerals
Gold Coast Community Funerals
Heritage Brothers Funeral Services
Holy Cross Funerals
Integrity Funerals
Newhaven Funerals, Cremation & Memorial Gardens
Parkview Funeral Homes
Simplicity
Somerville Funerals
White Lady Funerals
Other Funeral director's name here (please write in), or alternately, please write "TBA"
Other Funeral director's name here (please write in), or alternately, please write "TBA"
Please list here any values and qualities about the Deceased/nominee that you would like to particularly note and give thanks for in their life. Qualities that you will cherish, and look up to always and would like to foster in the lives of others. (Or, if this is a preparation in advance by yourself for your own funeral wishes, please list the values and blessings that you cherished in your life and hope to encourage for others)
Please write any groups, clubs, sports, associations etc that the nominee was a part of
Please write here the name of the spouse of the nominee (if predeceased, please write "deceased" in brackets):
Please write the names of the parents of the nominee, and if they have pre-deceased, please write in brackets beside their name "deceased."
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Living Children of the nominee/deceased - Full Names & Birth Dates:
Deceased Children - Full Names & Birth Dates:
please write names of surviving relatives of the nominee: with the relationship beside them, eg (mother), (Brother)
Grandchildren's names and partners/spouses [please put (deceased) if applicable].
names of any close relatives who have predeceased nominee (and what is their relation to the deceased/nominee)
Are there any other significant persons whom you would like to be kept in mind in our thoughts at the time of this funeral. People whom it would be remiss not to make mention of. (We understand that we cannot name everyone, but there may be a last surviving elder relative, or a significant life-long friend or companion who would be nice to mention).
Photograph of the Nominee suitable for featuring on front of Funeral Booklet
Please email us any other information or photos you would like
Usual Occupation(s) of the deceased/nominee
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Marital Status:
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If widowed, spouse's date & place of death:
Choices for the actual Funeral ceremony
Entrance hymn choices. (Please note that since this is a Christian/church service, the suitability of the music needs to reflect the occasion. Please confirm with the priest if in doubt).
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AMAZING GRACE
PRAISE GOD FROM WHOM ALL BLESSINGS FLOW
COME AS YOU ARE
HERE I AM LORD
GATHER US IN
GLORY AND PRAISE TO OUR GOD
COME TO THE WATER
WE REMEMBER
THOUGH THE MOUNTAINS MAY FALL
BE NOT AFRAID
JESUS COME TO US
WE ARE COMPANIONS ON THE JOURNEY
ON EAGLES WINGS
EAGLES WINGS
Reflective instrumental music
Other, please specify:
Other, please specify:
For selections of readings and hymns, please see this link
First Reading from the bible: (this must be reading from the Holy Bible, and cannot be replaced with a non-biblical text).
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Second letter of St Paul to Timothy (2 Tim 4:6b-8) - "I have run the good race..."
THE BOOK OF WISDOM (3: 1-6, 9). "Grace and mercy await those he has chosen.
THE FIRST LETTER OF SAINT PAUL TO THE CORINTHIANS (13: 4-8) "love is patient and kind, love never ends."
THE BOOK OF the APOCALYPSE (14: 13). They can rest forever after their work, since their good deeds go with them."
The letter of Saint Paul to the Philippians (4:4-9). Fill your minds with everything that is true, everything that is noble, everything that is good ...Then the God of peace will be with you
The book of Wisdom (4:7-10a, 14-15). Length of days is not what makes life honourable.
The Prophet ISAIAH (25: 6-9). On this mountain, i shall prepare a banquet. Every tear will be wiped away.
THE BOOK OF ECCLESIASTES (3:1-8: 11). There is a time and a season for everything under heaven.
The Second letter of Saint Paul to TIMOTHY (4: 6-8). Run the good race, kept the faith (longer)
First letter of St Paul to thethessalonians (4:13-18). We will not have any advantage over those who have gone before us. They shall be the first to rise. We shall meet them.
The letter of St Paul to the Philippians. (1:1-7a, 9-11). I thank my God whenever I think of you
The letter of St Paul to the Philippians (3:20-21). For us, our homeland is in heaven
The letter of St Paul to the Romans. (8:31-35. 37-39). Nothing can separate us from the love of God.
The letter of St Paul to the Romans. (14:7-9, 11). Whether we are alive or dead, we belong to the Lord.
From the First Letter of John (1 John 3:14,-16). We have passed out of death and into life.
The second letter of St Paul to the. Corinthians (4:14 - 5:1). When our earthly tent is folded up, we gain an everlasting home in heaven.
The second letter of St Paul to Timothy (2:8-13). If we have died with him, we will also live with him.
The book of Revelation (7:9-10, 15-17). In heaven there was a huge number, impossible to cound. I shall wipe away every tear from their eyes.
The first letter of St John (3:1-2). We are already children of God. We shall be like him and see him as he really is.
The letter of St Paul to the Ephesians (1:3-5). We are the adopted children of God.
The letter of St Paul to the Philippians (1:1-7a, 9-11) i thank my God for you. (longer)
The letter of Paul to the Romans (6:3-5, 8-11). All of us who have been baptized into Christ Jesus
From the Song of Songs (8:6-7). Love is stronger than death.
The letter of St Paul to the Romans (8:31-35. 37-39). Nothing can come between us and the love of Jesus. (shorter)
The book of Lamentations (3:21-26). This is what i shall tell my soul and so recover hope. IT is good to wait in silence for the Lord to Save.
The book of the Revelation (21:1-5). The Lord will wipe away death. No more tears, sadness.
The letter of St Paul to the Romans (Romans 8:14-23). What we suffer in this life cannot be compared with the reward that awaits us in the next.
The letter of St Paul to the Romans (5:5-11). Now that we have been reconciled, surely we may count on being saved by the life of his Son
St Paul to the Romans (5:17-21) Jesus Christ, will cause everyone to reign in life. He is to judge everyone, alive or dead. All who believe in Jesus will have their sins forgiven through his name.
First letter of Saint Peter (1:3-9). He has given us a new birth into a living hope through the resurrection. A birth into an inheritance that is imperishable, ..kept in heaven for you.
2 Corinthians (4:6-11). We are like clay jars in which this treasure is stored. The real power comes from God and not from us
First letter of St Paul to the Corinthians (15:54-57). Death is swallowed up in victory. Death, where is your victory?
The book of Job (19:1, 23-27). Inscribed this as a monument. I know my avenger lives. He shall set me close to him.
The prophet Daniel (12:1-3). Your own people will be spared, all those whose names are found. Written in the Book.
Second book of Maccabees (12:43-4). The hope in the resurrection in real.
Other Bible verse of your choice (not a gospel, but from one of the old or new testament books of letters)
Other Bible verse of your choice (not a gospel, but from one of the old or new testament books of letters)
Gospel Passage (for the Priest to read out).
PSALM: (sung)
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THE LORD’S MY SHEPHERD. (CRIMOND) TRADITIONAL
THE LORD IS MY SHEPHERD AND I WANT TO FOLLOW. (B. BONIWELL)
ISAIAH 49 (I WILL NEVER FORGET YOU, MY PEOPLE)
LIKE A SHEPHERD
or one of the spoken options in the book, please specify option number:
or one of the spoken options in the book, please specify option number:
Please choose a Gospel passage for the Priest to the readout.
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JOHN 14: 1 – 6. Do not let your hearts be troubled. There are many rooms in my Father's House.
Matthew (11:25-30). Come to me all you who labour and are burdened. and you will find rest.
John (10: 11-18). I am the Good shepherd. I know mine and they know me.
John (10: 14,27-30) Good shepherd (shorter).
JOHN 11:17-27. I am the Resurrection and the life. The raising of lazarus.
MATTHEW 5: 1-12. The Beatitudes. Happy are the poor in spirit...
Matthew (25:31-40). In so far as you did this to the least of my brothers and sisters, you did it to me, says the LOrd.
John (6:38-40). I shall lose nothing of all that he has given to me, and raise them up on the last day.
Luke (2:22-35). Now, Master, you can let your servant go in peace, for my eyes have seen your salvation.
John (15: 1,4-5, 7-8). I am the vine and you are the branches.
Mark (10:13-16). Let the little children come to me and do not stop them, for it is to these that the kingdom of God belongs.
John (12:23-24). Unless a seed falls into the ground and dies, it remains but a single grain, but if it dies, it yields a rich harvest.
Matthew (6:25-34). God knows what you need. Can anyone add a single hour to their life by worrying.
John (19:25-30). Jesus on the Cross. Gives his mother into the care of his disciple.
Luke (23:33. 39-43). "Jesus remember me when you come into your Kingdom."
Luke (24:13-35). THe disciples on the road to Emmaus. They recognised him in the breaking of the bread.
John (5:24-29). All who listen to my word and believe it, have eternal life.
John (6:51-58). Anyone who eats this bread will live forever. The Bread come down from heaven.
John (17:24-26). I want those you have given me, Father, to be with me in glory.
Other Gospel passage for the priest to read:
Other Gospel passage for the priest to read:
If you have selected a Funeral Mass (with the communion, the blessing of the bread and the wine), then please choose a suitable Thanksgiving reflection:
GALILEE SONG ( SO I LEAVE MY BOATS BEHIND, LEAVE THEM ON FAMILIAR SHORES)
ALL I ASK OF YOU IS FOREVER TO REMEMBER ME AS LOVING YOU
ONE BREAD ONE BODY
ONLY A SHADOW
I AM THE BREAD OF LIFE
I HEARD THE VOICE OF JESUS SAY
BLEST ARE THEY
IN THE BREAKING OF THE BREAD
THE LORD IS THE GOD OF MY SALVATION (FORMERLY, YAHWEH IS THE GOD OF MY SALVATION)
I’LL BE ALWAYS LOVING YOU
Lord, I know YOU ARE NEAR. (formerly ‘YAHWEH, I KNOW YOU ARE NEAR’).
JESUS REMEMBER ME (TAIZE)
EYE HAS NOT SEEN
WE WALK BY FAITH
Other, please specify:
Other, please specify:
Final (recessional) exit hymn:
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BLEST BE THE LORD
HOW GREAT THOU ART
GALILEE SONG
CITY OF GOD
MORNING HAS BROKEN
CREATE A NEW HEART, HOLY GOD
STRONG AND CONSTANT
other, please specify:
other, please specify:
Eulogy (optional). Please write the name of the person who will be reading the eulogy. In the Catholic Funeral rite, there is the option for a brief sharing of a Eulogy by one family member or a friend on behalf of the family. Please note that long eulogies or many different speeches are not as effective. The total time for Eulogies is suggested to be approximately four to ten minutes in total. Further speeches after the main family eulogy can tend to take away from the impact of the main eulogy. As we know, the worth of a loved-one is not to be measured by the number of words used in a eulogy. The formal eulogy should be only one or two pages long and ought to be written out and never unscripted. This is a time for a formal thanksgiving of your loved one’s life. Please write the name of the person who will be reading the eulogy.
For Returned services personnel only: Was the nominee/deceased a Returned Services person. Would you like an RSL tribute as part of the funeral ceremony? (Please note, this option is subject to the conditions and eligibility criterion and availability of the service as set down by the RSL).
Yes please, an RSL tribute
No thank you. No RSL tribute.
The names of the one or more readers who can read out the Prayers of intercession in the ceremony.
Please choose tick all prayers of Intercession(s) you would like to read out, and you can also add your own at the end.
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That Jesus, who is our resurrection and life, may give peace forever to all who have died. Lord Hear us.
That we may never lose sight of our eternal destiny. Lord Hear us.
That N. is now enjoying the eternal peace and joy with all the saints and share in the joy of heaven. Lord Hear us.
That we will find comfort in the promise of eternal life given to us in Jesus. Lord Hear us.
Your own intention here:
Your own intention here:
If this is a Mass, please propose two or so members of your family (or a couple of friends) who can bring forward the gifts of bread and wine at the offertory procession
Where there is a graveside commital planned, Would you like the Priest to invite people to attend this, or is it just a private ceremony
No thank you, it will be a private ceremony
There is no graveside service, it is all finishing here
Yes please, invite everyone to the grave, and it will be at...
Yes please, invite everyone to the grave, and it will be at...
Would you like the Priest to announce a gathering for refreshments for after the funeral, at a specified location. If so, please write where you are proposing to have the refreshments.
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No thanks, no announcement of refreshments
Yes please, refreshments at..
Yes please, refreshments at..
Please write here any further instructions, notes or questions:
Questions or Comments:
A note for those who are filling out this form as an advanced preparation for themselves. When you complete this form and receive an email back, please print this form out take it to your nominated funeral director, and also leave a copy with your next of kin and a copy in the place you leave all your important documents. You can also leave a copy of this with your will, but sometimes this is only seen after the funeral so, please ensure your wishes are communicated to all the necessary people in advance.