Memorial/Celebration of Life Request

This form is to be completed before a memorial can be approved and added to our church calendar.

Your name *

Email address *

Memorial For: *

Name of Deceased

Date of Birth & Date of Passing *

How would you like the service to be referred to? *

This will apply to any and all publications of the event. Some examples would be: Church calendar, printed programs, in-service announcements, etc. Please select one. (for members only)

Celebration of Life

Memorial Service

Is this a private event or do you want help publicizing? *

Some examples of publicizing would be: Church calendar, Sunday bulletin, in-service announcements, etc. (for members only)

This is a private event

I want this event publicized

Name and Phone # for Main Contact *

Preferred Date & Time of Service (weekends have limited availability & services) *

Ex: 03/16/19 @ 1pm (We typically allow building access for up to 5hrs. Start time must be no later than 2p, exiting building no later than 7p.)

Please Give Secondary Date/Time Option: *

Service Program: *

Approximate Number of People Expected: *

Reception to Follow at GracePointe? *

We would like a Holder Slide to Remain on the Screen During the Service: *

Music For Prelude & Postlude: *

We Will be Creating a Video/Slideshow: *

Videos are best in mp4 format and our display size is 4:3 standard.

When would you like to set up? *

Day prior to event

Day of event

Please mention any other needs or questions pertaining to the service below:

Do you acknowledge that upon approval of your request, you will be asked to make a security deposit, and that there will likely be service fees for any event support provided/arranged by GP (TBD at a later date)? *

Yes

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