Funeral Booking Form

Funeral Ceremony Booking Form

* Indicates required field

Name of Deceased *

First

Last

Type of Ceremony required (e.g. cremation, scattering of ashes, celebration of life, burial) *

Your Name *

First

Last

Relationship to Deceased *

Mobile Phone Number *

Your Email *

Your Address *

Home Postcode *

Venue Name & Postcode *

Date of Ceremony (DD/MM/YYYY) *

Additional Details *

Celebrant Name *

I give permission for you to share my details with the appointed funeral director, registered Scottish Charity A Quiet Revolution and members of Humanist Celebrant Scotland as required to administer and deliver the ceremony *

Submit Form

Completion of this form does not form a valid contract, your celebrant will in touch to confirm their availability, deposit details (etc) in order for a booking to be made.