Funeral Enquiry Form

Funeral Director Details

Funeral Director Company REQUIRED Please fill out this field. Please enter valid data.
Contact Person REQUIRED Please fill out this field. Please enter valid data.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.

Deceased Personal Details

Deceased Full Name: REQUIRED Please fill out this field. Please enter valid data.
Address of the Deceased REQUIRED Please fill out this field.
Date of Death REQUIRED Please fill out this field. Please enter valid data.
Deceased Age: REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Location of Death REQUIRED At Home In Care In Hospital Other Please fill out this field.
If In Care, how long in care? If Other, please specify.

Funeral Details

Service Required REQUIRED Mass Funeral Service Please fill out this field.
Church Preference REQUIRED Please fill out this field.
Funeral Proposed Date REQUIRED Please fill out this field. Please enter a date.
Funeral Proposed Time: REQUIRED Please fill out this field. Please enter valid data.
Please Specify - Burial/Cremation REQUIRED Please fill out this field.
Celebrant Attendance Required REQUIRED Yes No Please fill out this field.
Venue Please enter valid data.
Time Please enter valid data.
Special Service Required Viewing Rosary Funeral Booklet PowerPoint Presentation Catering After Service (Due to Covid-19 restrictions this is unavailable)

Relative's Contact Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Relationship To The Deceased REQUIRED Please fill out this field. Please enter valid data.
Email REQUIRED Please fill out this field. Please enter an email address.
Address REQUIRED Please fill out this field.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.

Note: Fees for funeral services are based on whether the deceased/the family are parishioners of Holy Trinity parish, or not, and on the types of special service required. All fees will be discussed with you once contact is made.

Holy Trinity Parish values the privacy of every individual and is committed to the responsible handling of personal information. For more information, see Privacy Policy [In Development].

Contact Person REQUIRED Please fill out this field. Please enter valid data.