Pre-Planning

Pre-planning funerals can give families the opportunity to take the time needed to make decisions that fit their needs.  It can also lift the burden of loved ones by relieving some of the pressure during their time of grief.

Please call 701-463-2200 to set up an appointment to discuss pre-planning with a caring professional.

 

Preparing for Life after Life
 
Name__________________________________________Phone____________________
 
Address____________________________City_________________State_____________
 
Date of Birth__________________Place________________Came to U.S.____________
 
Father’s Name____________________________________________________________
 
Mother’s Name (Maiden)___________________________________________________
 
Raised & Educated________________________________________________________
 
Years of Education & Degrees Earned_________________________________________
 
Married___________________on____/____/____ City, State______________________
 
            Spouse Living___________Deceased_____________Divorced_______________
 
Married___________________on____/____/____City, State_______________________
 
            Spouse Living___________Deceased_____________Divorced_______________
 
Employment History_________________________Title__________Length__________
 
________________________________________________________________________
 
________________________________________________________________________
 
________________________________________________________________________
 
Places of Residence______________________________________Length____________
 
________________________________________________________________________
 
Belong to these clubs, organizations, etc. these years_____________________________
 
________________________________________________________________________
 
________________________________________________________________________
 
Any Special Awards received________________________________________________
 
Mis.____________________________________________________________________
 
________________________________________________________________________
 
Member of ______________________________Church, City______________________
 
 
 
Spouse (including maiden name)_____________________________________________
 
Sons: (Daughter-in-Law), and their city and state
 
            1.________________________________________________________________
 
            2.________________________________________________________________
 
            3.________________________________________________________________
 
            4.________________________________________________________________
 
            5.________________________________________________________________
 
            6.________________________________________________________________
(indicate which are deceased with + before name)
 
Daughters: (Son-in-Law), and their city and state
 
            1.________________________________________________________________
 
            2.________________________________________________________________
 
            3.________________________________________________________________
 
            4.________________________________________________________________
 
            5.________________________________________________________________
 
            6.________________________________________________________________
(indicate which are deceased with + before name)
 
Grandchildren:
 
            1.________________________________________________________________
 
            2.________________________________________________________________
 
            3.________________________________________________________________
 
            4.________________________________________________________________
 
            5.________________________________________________________________
 
Number of Great Grandchildren_____________________Great Great_______________
 
Grandparents:
 
            1.________________________________________________________________
 
            2.________________________________________________________________
 
Brothers: (Sister-in-Law) Place of residence
 
            1.________________________________________________________________
 
            2.________________________________________________________________
 
            3.________________________________________________________________
 
            4.________________________________________________________________
 
            5.________________________________________________________________
(indicate which are deceased with + before name)
 
Sisters: (Brother-in-Law) Place of residence
 
            1.________________________________________________________________
 
            2.________________________________________________________________
 
            3.________________________________________________________________
 
            4.________________________________________________________________
 
            5.________________________________________________________________
(indicate which are deceased with + before name)
 
Special Friend(s):
 
            1.________________________________________________________________
 
            2.________________________________________________________________
 
 
My Funeral Arrangements
 
Name of Funeral Home____________________________City_____________________
 
Viewing of body_________________________Cremation_________________________
 
Church__________________________________City____________________________
 
Cemetery______________________________Address___________________________
 
Parish Vigil Service Led By_________________________________________________
 
Rosary Led by____________________________________________________________
 
Sharing Time following Vigil/Rosary_________________________________________
 
 
 
 
Honorary Casket Bearers
 
___________________________________        _________________________________
 
___________________________________        _________________________________
 
___________________________________        _________________________________
 
Casket Bearers
 
___________________________________        _________________________________
 
___________________________________        _________________________________
 
___________________________________        _________________________________
 
Celebrant________________________________Homilist_________________________
 
Con-Celebrants___________________________________________________________
 
Eucharistic Ministers______________________________________________________
 
Musician(s)______________________________________________________________
 
Songs___________________________________________________________________
 
________________________________________________________________________
 
Reader(s)________________________________________________________________
 
Mass Servers (3)__________________________________________________________
 
Tribute Time at end of Mass_________________________________________________
 
Readings:          Old Testament________________________________________________
 
                        New Testament_______________________________________________
 
                        Gospel______________________________________________________
 
Special Instructions (attach a separate page with further instructions):
 
            I have a Last Will and Testament_________________Living Will_____________
 
                                                Durable Power of Attorney for Health Care_____________
 
This form was completed by_________________________________________________
 
Date form was completed by________________________________________________
 

(Copyright Revised 1998. The author, Fr. Hugo L. Blotsky, OSB, gives permission to reproduce copies on the condition that the wording is not changed

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