Memorial Bench Application

Memorial benches allow your loved one’s memory to live on in an act of service to our city parks. Your contribution will be a great enhancement to many people’s quality of life.

Name and Contact Information

Name*

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Phone*

Email

Bench Site Information

Please note benches will not be installed on greenbelts or at trailheads. In addition, the following locations are at capacity and new benches cannot be installed: Auditorium Shores & Vic Mathias Shores at Town Lake Metropolitan Park • Barton Springs Pool • Butler Metropolitan Park • Covert Park at Mt. Bonnell • Deep Eddy Pool • Heath Eiland and Morgan Moss BMX Skate Park • Mayfield Park • Pfluger Pedestrian Bridge • Red Bud Isle • The Ann and Roy Butler Hike and Bike Trail • Zilker Metropolitan Park

Primary Site Requested

Alternative Site Requested

Plaque Inscription Request

30 characters per line; language is subject to approval by the Austin Parks and Recreation Department.

Line 1:

Line 2:

Line 3:

Payment Information

Payment Information Fee: $2,400; includes installation and lifetime maintenance of the bench and plaque. Mail to: Austin Parks and Recreation Department Attention: Sonia Freeland - Memorial Bench Program 200 S. Lamar Blvd. Austin, Texas 78704. For more information, please contact Sonia Freeland at sonia.freeland@austintexas.gov or 512-974-6792