Memorial Inquiry

Please fill out this form and click submit. A member of our team will reach out to you within 3 business days to set up a time to meet with a pastor.

Family Contact

Name

This address will receive a confirmation email

Cell Phone

Address

Memorial Details

Name of Deceased:

Deceased Date of Birth

Deceased Date of Death

Please give three dates that will work best for you and your family. Please know that memorials are primarily held on Saturdays at 10 or 11 AM.

First Choice: Date and Time

Second Choice: Date and Time

Third Choice: Date and Time

Is the deceased a Member at The Church at Litchfield Park

Please select all that apply.

I am a Member I was a Member I am an Active Visitor I am not affilaited with The Church at Litchfield Park at this time

Does the deceased have a Garden of Memories plot and will this be for an interment?

Please select all that apply.

Yes No I'm not sure

Are you requesting:

Please select all that apply.

An interment only A Memorial only An Interment and a Memorial

Service Details

Military Honors?

Please select all that apply.

Army Navy Air Force Marines Coast Guard

Reception

Are you requesting a reception?

Please select all that apply.

Yes, I would like to hold a reception at CLP NO RECEPTION Not sure

Unnamed Label

Description

Please fill out this form and click submit. A member of our team will reach out to you within 3 business days to set up a time to meet with a pastor.