A Statement for the Guidance of my Parish and Family

 

Services are to be conducted at St. JamesĖ Episcopal Church in Austin, Texas or ______________________________________

(Parish Church), (City or Town)._ The parish priest will be in charge of the services and all related arrangements._ Funeral Directors should be so informed and given the priestĖs phone number._ It is my desire that the services be conducted as instructed by the parish priest and as provided in the Book of Common Prayer._ The priest will make selections when no preference is expressed below.

 

If death has already occurred, please list date and place of death

 

 

 

1._ Full Name as you would like it on service booklets___________________________________

 

In the course of the service the first name of the one who had died will be used often._ What name would you like being used here?______________________

 

  1. Please use

_______The Burial of the Dead:_ Rite One (BCP p. 469)

_______The Burial of the Dead:_ Rite Two (BCP p 491)

 

3.__ I would like a Vigil before the Service__ Yes__ No

 

 

 

  1. The Liturgy of the Word (Please choose from the following category)

 

    1. Old Testament

______Isaiah 25: 6-9_______________ He will swallow up death forever

______Isaiah 61: 1-3_______________ To comfort those who mourn

______Lamentations 3:

___________ 22-26,31-33__________________ The Lord is good to those who wait for him

______Wisdom 3: 1-5,9___________ The souls of the righteous are in the hands of God

______Job 19: 21-27a______________ I know that my Redeemer lives

Choice of Reader:________________________________________

 

    1. After the lesson

______Psalm 42: 1-7_______________ As the deer longs for the water brooks

______Psalm 46______________________ God is our refuge and strength

______Psalm__ 90: 1-12___________ Lord, you have been our refuge

______Psalm 121____________________ I lift my eyes to the hills

______Psalm 130____________________ Out of the depths have I called

______Psalm 139: 1-11____________ Lord, you have search me out

______Hymn__________________________ ________________________

______Silence

 

 

 

    1. New Testament_______________________

______Romans 8: 14-19

___________ 34-35, 37-39_________________ The glory that shall be revealed

______I Corinthians 15:

___________ 20-26, 35-38, 42-44,

53-58                                                        The imperishable body

______II Corinthians 4:

___________ 16-5:9__________________________ Things that are unseen are eternal

______I John 3: 1-2_________________ We shall be like him

______Revelation 7: 9-17_________ God will wipe away every tear

______Revelation 21: 2-7_________ Behold, I make all things new

Choice of Reader__________________________________________

 

    1. After the lesson

______Psalm 23______________________ The Lord is my Shepherd

______Psalm 27______________________ The Lord is my light and my salvation

______Psalm 106: 1-5_____________ Hallelujah!_ Give thanks to the Lord

______Psalm 116____________________ I love the Lord, because he has heard my the voice of my supplication

______Hymn__________________________ _________________________________

______Silence

 

    1. The Gospel

______John 5: 24-27________________ He who believes has everlasting life

______John 6: 37-40________________ All that the Father gives will come to me

______John 10: 11-16______________ I am the good shepher

______John 11: 21-27______________ I am the resurrection and the life

______John 14: 1-6_________________ In my FatherĖs house are many rooms

 

  1. The Holy Eucharist

 

    1. I would like the following people to present the offerings of bread and wine to the deacon or presider at the Offertory

1)___________________________________

2)___________________________________

    1. Eucharistic Prayer:

When using Rite 1:

_____I_ on page 333

_____II on page 340

When using Rite II:

_____A on page 361

_____B on page 367

_____C on page 369

_____D on page 372

_____Supplemental Texts

 

 

 

 

 

 

  1. Music

Please list several hymns you would like

 

 

 

 

 

  1. Additional requests for the service:

 

 

 

 

  1. Please make all memorial gifts to the following:

 

 

 

 

 

  1. I would like my remains 1) buried in a casket, 2) cremated, 3) donated for research, 4) an organ to be donated for transplant._

 

 

 

  1. My will is on file at:_________________________________

 

  1. _My attorney is: ____________________________________

Phone Number:_________________________

 

  1. My next of kin is (name, address, phone)

 

 

  1. Names and birthplaces of your parents

 

 

 

  1. Information about you

 

Date of birth__________________________________________________________

Place of birth__________________________________________________________

Social Security Number_________________________________________________

Occupation___________________________________________________________

 

Date:__________________________

 

Signature

Print Name___________________________________________________________

 

These instructions should be placed on file in the parish office and a copy given to a close friend or relative.