Deceased Loved Ones' InformationTo help care for your family, this is the information that we need:Please enable JavaScript in your browser to complete this form.Section 1: Primary Contact InformationPrimary Contact (required) *FirstLastRelationship to your deceased loved onePhone (required)Please use the number that is the easiest to reach you atEmail (required) *Preferred method of contact (required) *PhoneEmailBoth are goodAre you coordinating with a funeral home? (required) *YesNoMaybe, I would like some more informationFuneral home name, director name & contact informationPlease share some information on who is coordinating the funeral detailsIf you are unsure, or have questions, please put them here as wellSection 2: General Information About Your Deceased Loved OneFull name of your deceased loved one (required) *FirstMiddleLastPreferred name and/or pronounsDate of birthDate of death (required) *File Upload Click or drag files to this area to upload. You can upload up to 5 files. Photo(s) for obituary notice/ bulletin, copy of the obituary, eulogy, etc.Section 3: Family & RelationshipsSpouse or PartnerLivingPredeceasedPrefer not to includeSpouse/ Partner NameFirstLastDate of DeathPlease select all that are included in the familyChildrenGrandchildrenGreat-GrandchildrenChildren & PartnersFormat: Child First & Last Name (Partner first name), Child First & Last Name (Partner first name)...Grandchildren & PartnersFormat: Grandchild First & Last Name (Partner first name), Grandchild First & Last Name (Partner first name)...Great-Grandchildren & PartnersFormat: Great-Grandchild First & Last Name (Partner first name), Great-Grandchild First & Last Name (Partner first name)...Please list any predeceased family membersFormat: First & Last Name (Year of Death)Section 4: Service InformationAny details you have that could help get the process startedWould you like the service to be at Islington United Church? *YesNoOffsite location (including funeral home & graveside)Not yet decidedRequested Service Date & TimeDateTimePlease note that we typically schedule funerals to be either Tuesdays or Fridays at 11am. We will do our best to accommodate service days/ times outside of this.Name & Address of Off-Site ServiceWould you like a reception? (required) *YesNoI'd like some more information (required) service Information Estimated number of attendeesService locationSanctuary (seats up to 400)Chapel (seats up to 40)Would you like to request that the service be livestreamed? *YesNoFor an additional fee, subject to AV Technician availabilityRequested Service Date & Time (Off-site service)DateTimeMemorial DonationsAre you listing any charities in the obituary?Often when people die, we donate to what they died of. Please consider donating to things they lived for. Naming Islington United in the obituary of your loved one will continue their care for this place and God's world. Final NotesIs there anything else you'd like us to know about your loved one or family?Submit Share: Share on Facebook (Opens in new window) Facebook Share on X (Opens in new window) X Email a link to a friend (Opens in new window) Email Print (Opens in new window) Print Like this:Like Loading...
