1.Contact info:

Name

Email Address

Phone Number

2.Sojourn church affiliation of deceased:

Member

Regular attendee

Occasional attendee

Not affiliated

3.Name of the deceased

4.Name of funeral home:

5.Persons related/affiliated from Sojourn church

6.Visitation arrangements

7.Funeral arrangements

8.I would like ... (check all that apply)

A Sojourn pastor or leader to speak at the funeral/burial

To use the Sojourn facility for the viewing and/or funeral

Grief care/prayer/support

Other (please specify)