Cemetery Burial Planning Form

Point of contact and relationship to the deceased:
Point of contact address: Point of contact address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Contact Phone Contact Phone - ### - ### ####
Contact Email
Funeral home name:
Funeral Home Address Funeral Home Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Funeral Home Phone Funeral Home Phone - ### - ### ####
Funeral Home Email
Officiant Name
Officiant Address Officiant Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Officiant Phone Officiant Phone - ### - ### ####
Officiant Email
Preferred Date of Burial Preferred Date of Burial / MM / DD YYYY
Alternative Date of Burial Alternative Date of Burial / MM / DD YYYY
Preferred Time of Burial Preferred Time of Burial : HH MM AM/PM
Alternative Time of Burial Alternative Time of Burial : HH MM AM/PM
Would you like to host a gathering at Bard with the burial service?

Would you like to host a gathering at Bard with the burial service? Yes No
Additional notes, questions, or comments.