Calvary Episcopal Church

821 South Fourth Street, Louisville Kentucky 40203

The Rev. Ned Morris, Rector

BURIAL PLANS

Name _______________________________ Date ____________________

The Worship Service

The Burial Office: Rite One (BCP p. 469) _____ Rite Two (BCP p. 491) ________

Preferences in Readings: Psalm __________ Lessons __________________________

Preferences in Music: Hymns _________________________________

Organ ______ Soloist _________________ Other _______________________

Holy Communion: Yes _________ No _________

Do you wish: Burial Office read at Calvary, followed by Interment? ______

(check one) Graveside service only? _______________________________________

Graveside Service, followed by Memorial Service later? _____________

Memorial Service only? _______________________________________

Other? _____________________________________________________

Burial Plans

Do you wish interment of your body? ______ Or cremation and interment of ashes? ___

Other plans for disposition of your earthly remains ____________________________

Where do you wish to be interred? ___________________________________________

If Calvary’s Burial Ground, do you authorize the contribution of $500.00 for the interment of ashes and the purchase of the memorial plate? ________________________

Who are the appropriate persons to contact for arrangements?

What funeral home? __________________

Next of kin? ____________________________________________________________

Trust Officer or other authority? ____________________________________________

Other plans or arrangements that would help the church (please use the back of this sheet if necessary: ________________________________________________________________________________________________________________________________________________________________________________________________________________________

Thank you for your assistance in these prior arrangements.