Park Bench Donation and Adoption

Applicant Information
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Mobile Phone
Email
II. Requested Donation or Adoption*
- Park Bench Donation
  Donation Amount = $3,000
  Includes the cost of the plaque, bench, freight to ship the bench, assembly, installation and maintenance.
- Park Bench Adoption
  Adoption Amount = $1,000
  Includes the cost of the plaque and installation.
Describe the location of the proposed bench donation or adoption in the space below. Include a photo of the bench location using the File Upload section below. Long Bridge Park and Penrose Square are not eligible for Bench Donation or Adoptions due to their custom furnishings. Other parks may be added to the list as they are redeveloped.*
File Upload
Upload an image of the park bench or proposed park bench location.
This donation commemorates:*
- Anniversary
- Birth
- Death
- Friendship
- Graduation
- Retirement
- Military or Volunteer Service
- Wedding
The applicant may choose from the following inscriptions:*
Please select only one.
- In loving memory of insert name, insert date(s).
- This bench is dedicated to the memory of insert name, insert date(s).
- To insert name(s) with love and appreciation.
- Sincere thanks and appreciation to insert name(s).
- Grateful for our friendship, insert name.
- Celebrating event [see the list above] of insert name(s) on insert date(s).
- Acknowledging insert name insert years of service with insert military branch.
- In appreciation for insert name of individual or volunteer group years of dedicated service and outstanding accomplishments.
Bench Plaque Example: View here.
Refer to the Park Bench Donation and Adoption Policy for more information.