OBITUARY DATA ENTRY Step 1 of 5 20% CommentsThis field is for validation purposes and should be left unchanged.DECEASED PERSON DETAILS: Section 1: Basic InformationDeceased Person's Name(Required)Enter the name as it should appear online and within the printed program.Also Known As (Aliases)Nicknames or other names the person was known by (optional)Gender(Required)Select genderFemaleMaleLast Know Address(Required)Section 2: Important DatesDate of Birth(Required)DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Use format: Day/Month/YearDate of Death(Required)DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Use format: Day/Month/YearSection 3: Photo UploadUpload a clear, high-quality photo. Portrait/headshot works best.Main Photo of the Deceased(Required)Accepted file types: jpg, jpeg, png, Max. file size: 10 MB. This photo will be used for both the website and Facebook post. PAGE 2: Which family relationships should be included? (Select all that apply)Necessary Fields Parents Spouse Former Spouse Common-law Spouse Special Friend Children Grandchildren Great-Grandchildren Great-Nieces/Nephews Siblings In-laws (sons/daughters-in-law) Parents-in-law Siblings-in-law Aunts/Uncles Nieces/Nephews Cousins Other relatives Close friends Select AllSelect the relationship categories needed for this family. Section 1: FAMILY RELATIONSHIPS – MaleThis page shows only the fields required for male personsSon ofHusband ofFormer Spouse ofCommon-law Husband ofSpecial Friend ofFather ofFather of Father-in-law ofGrandfather ofGrandfather of Great-Grandfather ofGreat-Grandfather of Great-Uncle ofGreat-Uncle of Son-in-law ofBrother ofBrother of Brother-in-law ofUncle ofNephew ofCousin ofCousin of Relative ofRelative of Friend ofFriend of Section 1: FAMILY RELATIONSHIPS – FemaleThis page shows only the fields required for female personsDaughter ofWife ofFormer Spouse ofCommon-law Wife ofSpecial Friend ofMother ofMother of Mother-in-law ofGrandmother ofGrandmother of Great-Grandmother ofGreat-Grandmother of Great-Aunt ofGreat-Aunt of Daughter-in-law ofSister ofSister of Sister-in-law ofAunt ofAunt of Niece ofCousin ofCousin of Relative ofRelative of Friend ofFriend of PAGE 3: FUNERAL SERVICE DETAILS – Section 1: Service InformationDate of the funeral(Required)DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Time of the funeral(Required) Hours : Minutes AM PM AM/PM Funeral Service Location(Required)Interment DetailsInterment Type(Required) Burial Cremation Type of Final ArrangementBurial GroundName and location of burial groundCremation Site or CrematoriumName and location of cremation site or crematoriumResponsible Person or Agent Acting on the Family's BehalfResponsible Person or Agent Acting on the Family's Behalf(Required)Phone(Required)What’s App phone contact for the responsible person or agent acting on the family’s behalf