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For Executor or Estate Administrator Worthington United Methodist Church Request for Interment of Scattered Ashes in the Memorial Garden I/we hereby request permission to have the cremated remains of _____________________________________________________________________ placed in the Memorial garden of Worthington United Methodist Church, Worthington, Ohio. I/we have read the Memorial Garden Policy and agree to abide by them. Name of Applicant(s) ___________________________________________________ Relation to deceased ___________________________________________________ Address _____________________________________________________________ _____________________________________________________________ Telephone ________________________ Email _____________________________________________ Applicant signature ______________________________________________ Date ________________ Acknowledged signature: _____________________________________________ Date ___________ Board of Trustees Chairperson Original request copy is retained by WUMC. Return a signed copy to the applicant. Donations are accepted for sustaining of the Memorial Garden. Memorial Garden Policy Garden Grounds Exclusions Only Memorial Bricks, approved benches, and cremated ashes will be allowed in the Memorial Garden. There will be no markers, paintings, ornaments, balloons, glass vases, statues, plantings, flowers, wood or metal objects or additional decorations (urns, flags, chimes, flowers, etc.) added to the Memorial Garden. Such objects will be removed from the garden. Ashes Cremated remains are to be given to the church in a biodegradable or disposable vessel for scattering in the garden. Additional exclusions may be added to this document in the future by the trustees. Right to Alter, Move, or Remove the Memorial Garden The Worthington United Methodist Church in its sole discretion has the right to remove, relocate or dismantle the Memorial Garden, if the Church deems it is in its best interest. The Church will not incur any liability or obligation resulting from the loss or disturbance of the scattered ashes in the Memorial Garden. Emergencies or Special Situation The lead pastor, Board of Trustees, and Leadership Board are authorized to resolve any unique, emergency, and/or emergency or special situation that may arise, and make binding rulings on behalf of the church. Disclaimer The Memorial Garden is not a cemetery or a columbarium. The garden is perpetual in nature and is a non-commercial venture that is the property of the Worthington United Methodist Church. No rights or privileges of any nature are deemed or granted to families of those having a Memorial Brick or ashes scattered. All rights are reserved by the Worthington United Methodist Church and its Board of Trustees to make changes, now or in the future, to this policy and to the Memorial Garden.
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