Christian burial in the Episcopal Church is a celebration of life, remembering Christ's victory over death. Please consider this form to be a gift- a gift to you to remind you of your own resurrection as you plan the readings and hymns for your service. Please review the burial services in the 1979 Book of Common Prayer as a guide for planning your service. Burial Rite One is on pages 468-489; Rite Two is on 490-505. The Rector of St. Peter's Episcopal Church will be happy to assist you with the form at your convenience.
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First and Last Name *
Address *
Phone Number *
Email *
Concerning Service *
Old  Testament Reading (BCP, p 494) - SELECT ONE *
Other Favorite Passage (Old Testament)
New Testament Reading (BCP, p 495) - SELECT ONE *
Other Favorite Passage (New Testament)
Psalms (PCP, p 585-808) - SELECT ONE *
Other Favorite Psalm
Holy Gospel - SELECT ONE *
Other Favorite Passage (Gospel)
151 From deepest woe I cry to thee
178 Alleluia! Alleluia! Give thanks to the risen Lord
194 Jesus lives! Thy terrors now
195 Jesus lives! Thy terrors now
199 Come ye faithful raise the strain
205 Good Christians rejoice and sing
207 Jesus Christ is risen today
208 Alleluia! The strife is o'er, the battle done
210 The day of the resurrection
214 Hail the day that sees him rise
287 For all the saints, who from their labors rest
304 I come with joy to meet my Lord
326 From glory to glory advancing, we praise thee, O Lord
335 I am the Bread of life
338 Wherefore, O Father, we thy humble servants
354 Into paradise may the angels lead you
355 Give rest, O Christ
356 May choirs of angels lead you
357 Jesus, Son of Mary
358 Christ the Victorious, give to your servants
362 Holy, Holy, Holy! Lord God Almighty!
376 Joyful, joyful we adore thee
383 Fairest Lord Jesus, Ruler of all nature
390 Praise to the Lord, the Almighty
410 Praise my soul the King of Heaven
429 I'll praise my Maker while I've breath
444 Blessed be the God of Israel
447 The Christ who died but rose again
455 O love of God, how strong and true
456 O love of God, how strong and true
474 When I survey the wondrous cross
482 Lord of all hopefulness, Lord of all Joy
487 Come, my Way, my Truth, my Life
494 Crown him with many crowns
499 Lord God, you now have set your servant free
513 Like the murmur of a dove's song
517 How lovely is thy dwelling place
523 Glorious things of thee are spoken
537 Christ for the world we sing!
544 Jesus shall reign where'er the sun
560 Remember your servants, Lord
595 God of grace and God of Glory
608 Eternal Father strong to save
618 Ye watchers and ye holy ones
621 Light's abode, celestial Salem
622 Light's abode, celestial Salem
625 Ye holy angels bright
623 O what their joy and their glory must be
635 If thou but trust in God to guide thee
636 How firm a foundation, ye saints of the Lord
637 How firm a foundation, ye saints of the Lord
657 Love divine all loves excelling
658 As longs the deer for cooling streams
663 The Lord my God my shepherd is
664 My Shepherd will supply my need
665 All my hope on God is founded
666 Out of the depths I call
668 I to the hills will lift mine eyes
671 Amazing Grace
680 O God, our help in ages past
685 Rock of Ages, cleft for me
687 A mighty fortress is our God
688 A mighty fortress is our God
690 Guide me, O thou great Jehovah
692 I heard the voice of Jesus say
693 Just as I am, without one plea
On Eagle's Wings
Other Requests (Enter Below)
I do not want music
Other Favorite Hymns
Names of individuals providing Family Remembrance
Please note the family remembrance will occur at the beginning of the service, just after the prelude.
Pallbearers (Burial Only)
Please list the names of Pallbearers, even if honorary only (not present)
Acolytes, Eucharistic Ministers, Lectors, Ushers *
Please list any requests for Acolytes, Eucharistic Ministers, and/or Lectors, and Ushers. You may also request that St. Peter's choose these individuals.
Concerning the manner of burial *
Concerning my casket *
Concerning the vault in which the casket is placed
Clear selection
Concerning my ashes
Clear selection
Place of Internment *
Columbarium, grave site, or family taking ashes, or other. Please list.
In Lieu of Flowers
Indicate if you do not want flowers and/or if you would like memorials made to a particular organization. State the name of the organization(s).
Funeral Home *
Preferred funeral home
Preferred Cemetery
Date of Birth *
Marriage Date
Name of spouse (if deceased, date of death)
Date of Baptism
Date of Confirmation
Next of Kin 1 *
Name and Address
Next of Kin 2 *
Name and Address
Last Will and Testament *
My last will and testament, along with other important documents, are in the hands of the indicated person.
Additional instructions or information for the newspaper eulogy
i.e. names of children, education and job highlights, etc.
Digital Signature *
It is preferred that you stop by the office to sign a hard copy of your submitted information, for your file. However, if unable, you understand, when clicking submit, that you are submitting important funeral preferences. Furthermore, you understand that, if possible, your burial rites are to take place at St. Peter's Church at a convenient time when your family and friends may join in the celebration of your resurrection lives in Jesus Christ.
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