Columbarium Application

Last Name

First Name

Middle Name

Street Address

City

State Zip

Phone (Husband)

Phone (Wife)

Email (Husband)

Email (Wife)

Parish Affliation

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Please print exact name and date of birth as will be shown on the niche/plaque:

First Name

Middle Initial

Last Name

Date of Birth:

Date of Death

First Name

Middle Initial

Last Name

Date of Birth

Date of Death

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Niche Location Preference:

NOTE: The Columbarium Trust Committee will assign spaces as close as possible to preferred location, based on availability and priority.

First

Second

Third

Fourth

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I hereby acknowledge receipt of the Guidelines and Policies Governing Inurnment in Risen Christ Catholic Community Columbarium. I Understand them and agree to abide by them and any amendments thereto.

Signature of Applicant 1

Date

Signature of Applicant 2

Date

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___________________________________________________________________________________________________

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To be completed by the Columbarium Trust Committee:

Assigned Niche Number

Full Payment Received

Signature of Risen Christ Catholic Community Columbarium Trust Committee

Date

Committee Member Approval

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