Request a Memorial in a McKinney Park

2. Name of Person to be Memorialized*

4. Date of Birth *
   Date of Birth

5. Date of Passing*
   Date of Passing

7. Name of Person or Family Requesting the Memorial or Acknowledgement*

9. Is this person also the contact person?*

   1. Yes
   2. No

10. Name of Contact Person*

12. Contact Person Phone Number*

13. Contact Person Email Address*

15. Contact Person Address*

17. Preferred Contact Method*

    1. Phone
    2. Email

19. Memorial Tree or bench?

    1. Memorial Tree
    2. Bench

21. In which park would you like the memorial located?*

23. Additional Comments

25. Acknowledgement*

    1. I understand

    I understand that the Parks Department will get back with me within five business days. I also understand that submission of this form does not guarantee memorial placement. I acknowledge that I have read and understand the Parks Memorial policies.

Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field