Help Your Family Know What You Would Like

fields in red are required

Personal Information

First Name

Last Name

Spouse Name, if applicable

Hebrew Name

Father's Hebrew Name

Mother's Hebrew Name

Phone

E-mail

Address 1

Address 2

City

Province

Postal Code

Key Contact(s

Name of Preferred Contact/Executor

Contact Number of Preferred Contact

E-mail

Funeral Preferences

Funeral Service Preferences

Chapel Service followed by burial
Graveside Service
Unsure / To be decided lat

Clergy / Rabbi Preferences

Preferred Rabbi / Cantor :

Special customs or family traditions to uphold

Do you have pre-paid funeral arrangements with a funeral home?

Synagogue affiliation (if any):

Monument preference

Monument Colour

Suggested Inscription Preferences

Legacy family information

Enter your parents/ grand parents and other family member information you would us to keep for future generations

Additional information

I consent that the information contained in this form may be shared with the people arranging my funeral and it may be revoked or updated at anytime.

I agree

The cemeteries are closed on Shabbat, Jewish Holidays, December 25 and January 1