**Note that if the funeral will be held at Baptist Grove Church please arrange a meeting with the Church Office.

Report A Death

Your Name*
Address *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Phone Number*
Name of Deceased*
Age
Family Home Address *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Funeral Home in Charge
Date of Wake
Time of Wake
Location of Wake
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Date of Funeral
Time of Funeral
Location of Funeral
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Your Relationship to the Deceased? *
*