CHWP Bench Sponsorship Application

Claremont Hills Wilderness Park Bench Sponsorship Application
Honor a friend, loved one, or community group by sponsoring a bench in the Claremont Hills Wilderness Park.

Benches and plaque sponsorships are available for a contribution of $1,500.00.
Bench and Plaque Style
Benches are 6 ft. long and made from high grade recycled plastic lumber that is UV and moisture resistant, designed to last for many years. All hardware is stainless steel. Benches are mounted in ground and your donation includes installation costs.

Each bench also comes with an engraved 8" x 2" bronze plaque, which can be customized by the donor below with up to 3 lines of text and a maximum of 20 characters per line.

Sample images of the bench and plaque are available below for reference. Bench style is subject to change.
Donor Information
Name*

First NameLast Name
Organization (if applicable)
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
The City maintains a list of locations where benches are needed or desireable in the Claremont Hills Wilderness Park. However, sponsors may request a specific location, subject to review by the City.
Bench Location*

The City may select the location for this bench based on current need.I would like to request a specific location for this bench.
Please describe location, or provide coordinates:
Plaque Inscription

Each line is limited to 20 characters, including spaces. Text will appear exactly as written, but in all capital letters. The City reserves the right to reject any proposed plaque inscription.
Line 1
Line 2
Line 3
Gifts to the City Policy

Please review the policy below.
Once submitted, your application will be reviewed and you will be contacted by City staff with further instructions and payment information.

I have read and understand the City's gift policy. I further acknowledge that while every effort will be made to maintain the donated bench and plaque, the City reserves the right to remove or relocate any bench or plaque that is no longer serviceable. Furthermore, benches or plaques that have been damaged, vandalized, destroyed, or stolen will not be replaced by the City.
Signature*

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Date*

MonthDayYear
Date
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Claremont Hills Wilderness Park Bench Sponsorship Application

Bench and Plaque Style

Donor Information

Plaque Inscription

Gifts to the City Policy