Columbarium Application

Columbarium Application
The Good Shepherd Columbarium is available for the interment of cremated remains of parish members, immediate family of members (spouses, parents or parents-in-law, siblings, children, or grandchildren). You may choose a private niche in the columbarium wall. Each niche holds up to two urns of cremated remains. You may also choose to inter cremated remains in the cinerarium cistern. The cinerarium cistern is a large underground area beneath the garden. Remains are interred in the cistern without an urn.

For a Niche: The cost is $6,150 when you apply. If you wish to pay the $250 for plaque engraving at a later time, your upfront payment would be $5,900.

For the Cistern: The cost is $700 when you apply. If you wish to pay the $200 for plaque engraving at a later time, your upfront payment would be $500.
Would you like to reserve a niche or plan for interment in the cistern.*

NicheCistern
Application for Right of Interment in the Parish Columbarium

Note: This application may apply to one niche (holds up to two urns) or one cistern space. To reserve multiple niches or cistern spaces, please submit multiple applications.
To review the detailed columbarium rules or to see a diagram showing available niches, please visit https://gsaustin.org/the-columbarium/. The "Rules, Policies and Regulations Governing the Columbarium" apply to all applicants and are subject to change at any time.

For questions about the Good Shepherd Columbarium, please contact Lise Harding (Lharding@gsaustin.org or 512-621-7701), the Coordinator for Ministry Operations, or the Rev. Paige Alvarez Hanks, Senior Associate Rector, at paige@gsaustin.org.
Your Name (person submitting the application will be the "Rites Holder")*

First NameLast Name
Your Email*
example@example.com
Your Phone Number*
Please enter a valid phone number.
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
All of our niches can accommodate one or two urns. Some families choose to inter only one urn in a niche. Do you intend to inter one or two urns in this niche?*

I intend to inter one urn.I intend to inter two urns.
Intended Future Occupant(s)
Person 1 Name*

First NameMiddle NameLast NameSuffix
Person 1 Birth Year*
Person 1 Death Year
Person 1's Relationship to You*
Person 2 Name*

First NameMiddle NameLast NameSuffix
Person 2 Birth Year*
Person 2 Death Year
Person 2's Relationship to You*
Select the niche location in the Columbarium

The YELLOW niches below are available for reservation. Niches are identified by a Letter plus a Number. For example, C24 is the first niche on the second row of Section C. Please enter your first and second choices for locations below as the availability is subject to change and thus the diagram may not be up-to-date at the time you submit your form.
1st choice of niche location*
2nd choice of niche location*
Payment and Signature
How would you like to pay?*

Mail in a check (send to Good Shepherd, P.O. Box 5176, Austin, TX 78763)Bring a check to the Church Office (Open Mon-Fri between 9am-5pm)Pay with a credit card (instructions will follow after you press Submit).Other
Reminders:

1. Payment is due when you submit the application. A niche location is not reserved until the full payment is received by the Church.

2. The Applicant agrees that the Columbarium Rules, Policies and Regulations governing the Columbarium as now existing and which may exist in the future are a part of this application and acknowledges receipt of a copy of the existing Rules, Policies and Regulations. Applicant acknowledges that persons named above are eligible for interment.

3. The Applicant or the Applicant's family is responsible for paying the parish's cost to engrave the stone or plaque at time of interrment if not paid in advance.
Applicant Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Columbarium Application

Application for Right of Interment in the Parish Columbarium

Intended Future Occupant(s)

Select the niche location in the Columbarium

Payment and Signature