Register

Registration is the second step in our three-step cremation process. By completing the registration form you are giving us the information that we need to handle the cremation arrangements. The form contains confidential and private information. Because we use this information to complete the death certificate, notify social security and secure the necessary authorizations and permits it is necessary that we have the form completed in it’s entirety.

Registration Form

This information is sacred to us. We won’t ever sell or abuse it.

This information is sacred to us. We won't ever sell or abuse it.

Should you not know the answer to a question, simply type in "will call" or if cannot find the answer, type "unknown".All of this data MUST be answered on the legal document and cannot be left blank.
Your Name*
First Last
Your Email*
Your Phone*
Your Address*
Street Address City State / Province / Region ZIP / Postal Code Country
I am Planning For:*
Your Relationship to the person you are planning for*

Spouse, Child, Sibling, Friend, Companion, Etc.
Full Legal Name of Person to be Cremated*

First Middle Last
Where is your loved one's body currently located?*
Place of Residence of Person to be Cremated*
Street Address City State / Province / Region ZIP / Postal Code Country
Is residence in the city limits*
- Yes
- No
- Not Sure
County of Residence*

McLennan, Bell, Hill, Limestone, etc.
Date of Birth*
MM slash DD slash YYYY
Place of Birth*

City, State or Country
Birth Father's Name*

First, Middle, Last
Birth Mother's Name*

First, Middle, Last
Birth Mother's Maiden Name*
Social Security Number*

XXX-XX-XXXX
Marital Status*
- Never Married
- Married
- Divorced
- Widowed
- Unknown
Spouse's Name (If wife, enter maiden last name.)

First, Middle, last or Maiden
Gender*
- Male
- Female
Race*

White, African American etc.
Highest Level of Education Completed*
Military*
Texas Peace Officer*
- Yes
- No
Kind of Business or Industry*

The type of industry one was involved in primarily throughout their life. Example: Domestic (Household), Education, Healthcare, Construction, Banking, etc.
Occupation*

The type of work one primarily did within a particular industry. Example: Homemaker, Teacher, Nurse, Loan Officer, Electrician, etc.
Legal Next-of-Kin*

Next-of-kin is a person's spouse or blood relative in this order: Spouse, Adult Children, Parents, Adult Grandchildren, Siblings, Grandparents, Nephew/Niece.
Next-of-Kin's Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Next-of-Kin's Phone Number*
How Did You Hear About Us*
- Google
- Yahoo/Bing
- Other Internet
- Newspaper
- Hospital
- Hospice
- Other Referral
Hidden
Package Chosen
Email
This field is for validation purposes and should be left unchanged.

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