Sanctuary Funeral Request Form

Name of Deceased *

Date of Birth *

Place of Birth

Date of Death *

Cause of death: *

Is the deceased or family of deceased an SCC member or regular attender? *

Yes

No

Other

Facility Request

Primary contact person *

Phone *

Email *

The Funeral Service

Please provide three options that are on a weekday (Monday-Friday).

Funeral Service Date (First Choice) *

Funeral Service Date (Second Choice) *

Funeral Service Date (Third Choice) *

Funeral service start time

Which rooms would you like to request?

Auditorium

Lobby/kitchen

Childcare room(s)

Family room - private space for the family to gather

For the funeral: what time would the family like access to the building?

Will there be a repast after the service? If so, for how many people?

What time will the family be departing? (This should include tear down and clean up.)

Approximately how many people are expected to attend the service? If there is a repast, how many do you expect to stay for the repast?

For the service, does the family need to contract musicians and singers? Check all that apply.

Yes, we need a pianist. ($100 per service)

Yes we need a soloist. ($150 per service)

Yes, we need a sound tech. ($250 per service)

Yes, we need a media tech for visuals. ($150 per service)

No, I will provide my own musicians. (Sound and media contractors must work for the Sanctuary.)

What media elements will the service contain?

Video

A playlist

Slideshow/Montage

Other

What is your plan for volunteer coverage?

I will have volunteer ushers.

I will have volunteer food service people.

I will have set and tear down volunteers.

I need help gathering volunteers.

Will a body be on site? *

Yes

No

Which funeral home are you working with, and who is your contact? Provide name and phone.

Please give an overview of the schedule.

Family arrival time:
Deceased arrival time (if applicable):
Visitatin time:
Service start time:
Service end time:
Repast start time (if applicable):
Everyone is out of the building:

Give any additional service details here:

The Wake

This is an optional visitation the night before the funeral.

Will the family be using the facility for a wake the night before the funeral?

Yes

No

If yes, when will the wake begin?

If yes, which rooms would you like to request?

Auditorium

Lobby/kitchen

Childcare Room(s)

Family Room - private space for the family to gather

For the wake: what time would the family like access to the building?

What time will the family be departing? (including tear down)

If yes, please check requested contractor(s) - see rates above in funeral section

Soloist

Pianist

Media (auditorium visuals)

Sound (auditorium sound)

Other

Will the family be using our facility for a reception?

Yes

No

If yes, who will be providing the food and beverages?

Family members

Local Caterer

Other

Give any additional details for the wake or reception here.

What is your plan for volunteer coverage?

I will have volunteer ushers.

I will have volunteer food service people.

I will have set up and tear down volunteers.

I need help gathering volunteers.

If possible, please provide the link to the obituary here.

Sanctuary funeral fees will be wrapped into funeral home fees. What is your relationship to Sanctuary? *

I am a member (gratis for facility).

I am a regular attender ($300 for facility).

I am not a member or regular attender ($500 for facility). Please note that there is also an additional cleaning fee of $150.

Do you need an officiant (pastor) for the service? *

I have an officiant.

I need an officiant. (Please note: Suggested honorarium for Sanctuary pastors to officiate - $200)

If you have an officiant and will not be needing a Sanctuary pastor to officiate, please provide the name of the officiant and their church name below. This information is required before approval of funeral rental.