Section 1 of 1 in this document

Memorial Bench, Tables, and Tree Donation Program

Give a gift of green and shade or a place to stop and rest. Memorial donations include select tree species, picnic tables and park benches.

Donor Information

Email Address

Phone Number

Memorial Information

I'm interested in purchasing a memorial:

Park Bench ($1,700 – $2,300)*

Picnic Table ($1,400)

Tree ($300)**

My desired tree species is: (optional)

* Park bench lengths are 4 feet, 6 feet, and 8 feet. The color is determined by location. To help ensure that park benches are installed safely and efficiently, installations take place twice per year. Dates vary based on weather, staffing, and the discretion of the Parks Superintendent. Please contact Parks staff for the most up-to-date installation information.

** Tree size is approximately 1.5-inch caliper.

My desired location is:

A City Park

Ross Park Aquatic Complex

Zoo Idaho

My desired park is: (optional)

Terms of Agreement

Pocatello Parks & Recreation staff will be in touch with you shortly to discuss your request. Invoicing will be completed once the memorial is approved by both parties.

The Pocatello Parks & Recreation Department will be responsible for the maintenance and replacement of memorial trees, benches and picnic tables for five years after installation. The department has the right to remove any item that becomes damaged or degenerates to disrepair and will not be held responsible for replacement five years after the installation date.

Signature

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

For Staff Use Only

Staff Approval

Date Approved

Total Due

Date Paid

Date Installed

Staff Signature