Request | Funeral Care Form

Please fill out this form and click submit.

Funeral Request

Our condolences on your loss. We are praying that the Lord will comfort you and your family members.

Pastoral Care Team
Fresh Church

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Name of the deceased

*

Was the deceased a member of the Fresh Church?

*

Please select one option.

Yes No

Was is your relation to the deceased?

*

Please select one option.

Spouse Parent Child Sibling GrandParent Other

Please specify if Other

Please provide details of the funeral (Date, Time, Location including address)

*

Do you require a Fresh Church Staff Leader to participate in the funeral?

*

Please select one option.

Yes No

List any service request: (greeters, parking attendant, etc)

*

Please fill out this form and click submit.

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