Candlelight Christian Fellowship

It is Better to Light a Candle than to Curse the Darkness

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Home ► Memorial Service Request Form

Memorial Service Request

All information will be kept confidential by Candlelight Staff

Please Note: Additional charges may be incurred if the deceased is not a relative of a Candlelight member.
Please fill out a Facility Use Form to accompany this form and see Candlelight’s CCF Building Rates.

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Today's Date:*
Date Format: MM slash DD slash YYYY
Requestor for Memorial:
Name*
First Last
Home Phone (Landline):
Cell Phone:*
Email
Are you a member of Candlelight?*
- Yes
- No

Deceased Information:
Name*
First Last
Birth Date:*
Date Format: MM slash DD slash YYYY
Death Date:*
Date Format: MM slash DD slash YYYY
Cause of Death:*
Was the deceased a relative or friend?*
- Relative
- Friend
Did they attend Candlelight?
- Yes
- No

Memorial Information:
Funeral Home:*
City:*
Memorial Date at Candlelight:*
Date Format: MM slash DD slash YYYY
Time (From/To):*
Set-Up Time:*
: HH
MM
The number of adult guests expected:*
The number of youth expected under age 18?*
Do you wish for a Candlelight Pastor to officiate the funeral or memorial?*
- Yes
- No
Name of Pastor:*
Will a visiting Pastor officiate or assist in the Memorial Service at Candlelight?*
- Yes
- No
Name of Pastor:*
Visiting Pastor Church Affiliation:*
Visiting Pastor's Phone Number:*
Use of room(s):*
- Sanctuary
- Chapel (2nd floor)
- Main Lobby
- Kitchen
- Gym
Do you have a piano player, singer or music?*
- Yes
- No
Do you need any audio/visual?
- Video/DVD shown
- Computer/projector
- Piano
- Record event
- Stream event
An honorarium for the Pastor is appropriate. See CCF Building Use Rates for other costs.
Please include any additional information:

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