Memorial Bench Request Form

 

Contact Information

 
 
 
 
 
 
Phone
 
 

 

Memorial Bench Information

 

Please select which bench type you would like to reserve for your memorial.

 
 

Please write the text you wish to be engraved on the memorial plaque. You may include up to 3 lines of 100 characters or less. Click here for an online character counting tool. A proof will be sent to you to confirm your request.

 
 

 

Bench Location

Please describe your 1st, 2nd, and 3rd choice of memorial bench location. Include the park or trail name.


When possible, we will reserve your most preferred location.

 
 
 
 
 
 

 

Memorial Bench Agreements

Please check each box below to confirm that you agree to each of the terms below.