The Churchyards at All Saints' Luddington and St Helen's Clifford Chambers are open. The Churchyard at Holy Trinity is closed to burials but interment of ashes is permitted by prior arrangement with the Vicar and PCC. Interments are subject to requirements and regulations which can be found on our website as an introduction to this form

Main Contact

Name *

This is the person making the application and the main contact with the family for arrangements

First name *

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Middle name(s)

Surname *

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Email *

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Home Phone

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Address

Address 1

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Address 2

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Address 3

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Town

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County

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Postcode

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Country

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Information Consent *

I agree to the Parish of Stratford-upon-Avon keeping me informed about news, activities and services in the Parish. I can withdraw my consent at any time by contacting the Parish Office.

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Details of Deceased Person

Title

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Name *

First name *

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Middle name(s)

Surname *

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Date of Birth *

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Date of Death *

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Late of *

Home address of the deceased at the date of death

Address 1 *

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Address 2

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Address 3

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Town *

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County *

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Postcode *

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Country *

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Date of Funeral *

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Place of Funeral *

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Please indicate the qualifying connection with the Parish of Stratford-upon-Avon *

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Service Details

The Churchyard where the interment will take place *

Interments in All Saints and St Helen's require an Undertaker to dig the plot. Next of kin are responsible for engaging the Undertaker.

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Undertaker (if applicable)

For interments in All Saints' or St Helen's, please include the name and contact details of the Undertaker who will dig the plot.

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Your preferred date for the service to take place *

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Officiating Clergy

Is there a member of the clergy you would prefer to conduct the service

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Additional Information

Is there any other information which we need to know?

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For Office Use Only

Name of Officiating Minister

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Agreed Date for the Interment

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Agreed Time for the Interment to take place

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Notes

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Charge for the Ash Burial in a Churchyard

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Charge Paid

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