Funeral Request - Central Baptist Church

Phone number *

Name of church member contact *

First and last name of deceased *

Your relationship to the deceased *

Was your loved one a member of Central? *

Yes

No

Please tell us a little about your needs for the funeral service *

Check all that apply

I would like to use Central's facilities for a funeral

I would like to use Central's facilities for a family meal (active members of Central only)

I would like for a member of Central's pastoral team to officiate the funeral

I would like for a member of Central's worship team to sing at the funeral

I would like for a member of Central's worship team to provide music for the funeral

Other

Requested date for the memorial service *

Funerals can be scheduled Monday-Thursday from 10am-3pm.

Requested time for the memorial service *

Funerals can be scheduled Monday-Thursday from 10am-3pm.

Will there be a graveside service? *

Yes

No

Which funeral service is handling the preparations? *

Is there any other information you would like to provide to us at this time?