Funeral Selection Form — Holy Trinity Roman Catholic Church

Name of Deceased

First Name

Last Name

Date of Service

MM

DD

YYYY

Placing of Pall and/or Cross

LITURGY OF THE WORD

Will your family choose the Scripture passages? (If yes, please select readings from options provided)

Yes

No

Old Testament Reading

Choose One

Read By

First Name

Last Name

New Testament Reading

Choose One

Read By

First Name

Last Name

Gospel Reading

Choose One - Read by Deacon or Priest

Prayer of the Faithful

LITURGY OF THE EUCHARIST

Presentation of Gifts by

Remarks of Remembrance by

MUSIC

Choose 4 selections & Music Director will include them at the appropriate place in the Eucharist Celebration

Song Choice 1

Song Choice 2

Song Choice 3

Song Choice 4

Person Coordinating Funeral Service

First Name

Last Name

Email

Phone of Person Coordinating

(###)

###

####

Other Notes (i.e. Special Needs, Military Honors, Notes for Celebrant, etc.