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Schedule

Complete the form below and allow me to help write your memories of a loved one.

Name

Please input your infomation in this top section

First Name

Last Name

Phone number

Country

(###)

###

####

Date of funeral service

If the service is within 24 hrs an additions fee will apply

YYYY

SECTION 2: BASIC INFORMATION

Input information about your loved one

Name

First Name

Last Name

Nick name

Is your loved one known by any nicknames?

Date of Birth

What is your loved one's date of birth?

YYYY

Date of death

What date did your loved one die?

YYYY

Where were they born?

Where were they when they died?

What relation are you to the deceased?

Tell me 3 words that describe them

Kind, adventurous, quiet

Name any places meaningful to them? (Garden, Cafe, Home or places abroad)

SECTION 3: FAMILY AND RELATIONSHIPS

input the names of loved ones, family and friends to mention

What are their parent's names?

Write the names of your loved one's parents

What are the name's of any siblings to mention?

Whether they are alive or previously passed, it is your decision.

What are the names of any children to be mentioned?

Please consider wording for step-children to be mentioned i.e. Loved [name] as his/her own or gained step-children [names] when married for a second/third time.

Name any grandchildren to be mentioned

You could mention how many grandchildren, rather than naming everyone, or you may just want certain grandchildren mentioned for personal reasons.

Name or number any Great Grandchildren to be included

Are there any Nieces and Nephews to be mentioned?

If not, just leave blank.

Marriage or Partnership information