We are very sorry for your recent loss. We want to work with you to help make the memorial service for your loved one a smooth, seamless process so that you and the family and friends of your loved one can come to Goessel Church and celebrate the life of someone you held very dear. Please fill out the following questions so that we can best serve you and your family.

Name of deceased *

First Name

Last Name

Name of person completing form *

Main Contact

First Name

Last Name

Email of person completing form *

Phone Number of person completing form *

###-###-#####

(###)

###

####

Date of death *

YYYY

Name of Funeral Home handling preparations *

Date of viewing (if applicable)

YYYY

Location for viewing (if applicable)

Date of Memorial Service *

YYYY

Time of Memorial Service *

Hour

Minute

Second

Will you have a graveside service? *

Yes

If you answered yes to the above question, is the graveside service... *

Family Only

Open to the public

Time of graveside service (if applicable)

Hour

Minute

Second

Location of graveside service (if applicable)

Who will be performing the Memorial Service? *

Will you need office staff?

Yes

Will you need ushers?

Yes

Will you have a slide show you will want played? *

Yes

Will your slide show have music? *

NOTE: The best format for a slide presentation is to put your presentation in PowerPoint and to save it on a flash drive and drop if off at the church at least two days prior to the Memorial Service so that our tech team can get it loaded into our system and make sure everything is working well before the service.

Yes

Will you want your slide show....

Before the service

During the service

At the end of the service

Would you like the service to be streamed live at Goessel Church Live on Facebook?

If so, copyrighted music can not be included in the video. (if applicable)

Yes

Do you have.... *

Pianist

Vocalists

Other Musicians

If you checked any of the above please give us a brief description of how many vocalists and what instruments you will be using so we can plan microphones accordingly.

Do you congregational songs included in the service? *

Yes

Please list the songs along with the hymn book number or arrangement you would like. Also note which verses of each song you would like to sing.

Are you having a meal at the church following the service? *

Yes

Will you need a microphone set up for the meal? *

Yes

If yes, do you want the microphone to be....

On a stand

Roving microphone (hand held)

Any other details you need us to know?

The use of the facilities and ministries offered by the Pastor, Tech Team, Musicians, and Kitchen Help by members/attendees should include an honorarium paid directly to those offering their services. $50-$200 is the recommended honorarium for each based upon the level of participation. Custodial fee of $50 is required.

Thank you!

109 South Church Street, PO Box 38,
Goessel, KS 67053
620-367-2446

Goessel Church Memorial Service Form

CONTACT US

Goessel Church
Memorial Service Form