pre arrange funeral

Start the process with our online pre-arrangement form below. It will take a few minutes. Once complete, a Kearney’s representative will contact you shortly:

I. Biographical Information

Your Full Name *

Date of Death

Address

City

Province

Postal

Telephone #

Email

Date of Birth

City of Birth*

Province of Birth*

Residence History:

II. Family Information

Father's Name

Father's City of Residence

Mother's Name

Mother's City of Residence

Spouse's Name

Spouse's Maiden Name

Survivors' Names and Cities of Residence

Relatives Who Have Preceded In Death

III. Work Related Information

Occupation

Business Type:

Company Name:

Church Membership:

Lodge or Union Name:

IV. Military Information

Veteran

Branch of Service

Serial Number

Date Enlisted

Date of Discharge

Rank at Discharge

Location of a Copy of Discharge (DD214)

Time of Military Service

Military Honors at Graveside?

Flag Preference for Service:

V. Service Preferences

Type of Service:
Visitation Hours
Casket
Person in Charge of Arrangements
Officiating Clergy
Pallbearers
Flower Preference
Music Selection
Jewelry
Glasses
Casket Preference
Disposition
Outer Container Preference (for ground burial)
Cemetery Name
Cemetery Location
The cemetery property is in the name of
Miscellaneous Notes and Instructions

Please select one of the options below:  Please send me information Please contact me to schedule an appointment Please place my information on file