Planning Form Step 1 of 4 25% Information about whom this plan is for:MyselfParentSpouseRelativeChildSiblingFriendFirst Name:Middle Name:Last Name:GenderMaleFemaleYour Information:First Name:Middle Name:Last Name:Daytime Phone:*Evening Phone:Email* Biographical Information:Birth Date:Birth Place:Family Information:Fathers Name:Address - If Living Street Address City State / Province / Region ZIP / Postal Code Mothers Name:Address - If Living Street Address City State / Province / Region ZIP / Postal Code Siblings - LivingSiblings - DeceasedChildren - LivingChildren - DeceasedGrandchildren - LivingGrandchildren - DeceasedEducation and Work:Highest Level of Education:School Name:School Location:Occupation:Company:Years at Company:Military Service:Military Service:YesNo Visitation Options:Visitation at Funeral Home.I do not wish to have visitation hours.Funeral Service Options:Funeral Service at Funeral Home.I do not wish to have a funeral service.Reception Options:Reception at Funeral Home.I do not wish to have a reception.Would you prefer burial or cremation:BurialCremationFinal Disposition:Ground Interment (burial)Mausoleum Entombment (above ground burial)Columbarium (for cremation urns)Cremated body returned to familyFinal Disposition:Ground Interment (burial)Mausoleum Entombment (above ground burial)Columbarium (for cremation urns)Cremated body returned to familyWould you prefer to include a graveside/committal service?YesNo Please list any musical selections you would like to include in your services.Please list any poems, religious texts, or readings you would like to be read at your services.Please list any interests or hobbies you would like to include in your services.Please list any special themes you would like to include in your services.Please list any specific foods or beverages you would like to make available to your family and guests at the services.Is there a special story, personal thank you, or message of hope you would like to be read during your services?
