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Father Harrison Ayre
Most Rev. Bishop Gary Gordon
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Our Lady of Victory
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Menu
Home
About Us
Father Harrison Ayre
Most Rev. Bishop Gary Gordon
Sacraments
Baptism
First Communion
Confirmation
Reconciliation
Marriage
Holy Orders
Anointing of the Sick
Ministries & Groups
Ministries
Parish Groups
Safe and Responsible Ministry
Mass Times
Ways to Give
Bulletins
Volunteer
Our Lady of Victory
New Parishioner
Young Adults-VIU Chaplaincy
Report Sexual Abuse
Funeral Intake Form for Parish Office
For the Parish Office to complete upon notification of a funeral.
*
Indicates required field
Name of Decedent
*
First
Last
Date of Death
*
Age at Death
*
Name of Next Kin
*
First
Last
Date of Birth
*
Relationship to Deceased
*
Address of Next Kin
*
Email
*
Home Address
*
Postal Code
*
Phone Number
*
Date/Time of Funeral
*
Body or Cremated Remains?
*
Body
Cremated Remains
Day/Time/Location of Prayer Service
*
Reception in Hall?
*
Yes
No
Estimated Attendance
*
25
50
75
100
125
150
200
Interment to Follow?
*
Yes
No
Interment Immediately after Reception
*
Yes
No
Time & Location of Interment after Reception
*
Funeral Home
*
Organist Required?
*
Yes ($200)
No
Any other comments?
*
Submit
Home
About Us
Father Harrison Ayre
Most Rev. Bishop Gary Gordon
Sacraments
Baptism
First Communion
Confirmation
Reconciliation
Marriage
Holy Orders
Anointing of the Sick
Ministries & Groups
Ministries
Parish Groups
Safe and Responsible Ministry
Mass Times
Ways to Give
Bulletins
Volunteer
Our Lady of Victory
New Parishioner
Young Adults-VIU Chaplaincy
Report Sexual Abuse