Consolation Ministry Intake Form 2019

Please do not fill out this form unless you are a registered Minister of Consolation at Good Shepherd. The Intake Form will send the below info to the primary Consolation Ministry computer person and the Music Ministry.

I F Y O U C A N' T S U B M I T T H I S F O R M
IT IS MOST LIKELY THAT YOU DIDN'T RESPOND TO ONE OF THE RED * STARRED QUESTIONS. IF ANY OF THOSE ARE LEFT BLANK, THE FORM WON'T GO THROUGH.

Untitled Title
DECEASED FULL NAME *
Your answer
NICKNAME (If family wants it to be used in booklet)
Your answer
KIND OF MASS *
Different booklets are used for each type of Mass
Phone Number & Name
of next of kin
Your answer
DAY AND DATE OF FUNERAL MASS *
Please use format: (Day of week) (Month) (day,) (year) example: Monday December 24, 2018
Your answer
TIME OF MASS
Your answer
Does the family want a photo of the deceased on the booklet cover? *
Please specify how the photo will be sent to Ann. ----- Moloney's website photos area too small to be used and are not an option
NUMBER OF BOOKLETS:
30 Booklets will be printed unless you have a special need. Please clear extra booklets through Judy Schelberg OR Nick Montemurro and put number needed in the box provided
Your answer
MINISTRIES AT GOOD SHEPHERD THAT THE DECEASED WAS A MEMBER OF (these can be added to the booklet if requested)
Your answer
PRESIDER (ONLY IF CERTAIN)
Pall *
PLACED BY : NAMES AND RELATIONSHIP TO DECEASED
Your answer
FIRST READING: *
NAME OF 1st READER & RELATIONSHIP TO DECEASED
Your answer
SECOND READING: *
NAME OF 2nd READER & RELATIONSHIP TO DECEASED
Your answer
INTERCESSIONS
NAME OF READER & RELATIONSHIP TO DECEASED
Your answer
GIFTS *
PRESENTED BY & RELATIONSHIP TO DECEASED
Your answer
Gathering Songs *
Responsorial Psalms *
Presentation Songs *
Communion Songs *
Recessional Songs *
What information do you want to pass along to the Vigil Minister?
Special circumstances or requests that they might incorporate into the Vigil Service.
Your answer
Sudden death?
Your answer
How many children? How many grandchildren?
Your answer
Comments/ Special Circumstances/ Special Instructions.
Your answer
CONTACT MINISTER OF CONSOLATION *
Your answer
E-MAIL OF CONTACT MINISTER *
Your answer
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