Memorial bench & picnic table program

Use the form below to submit your application to donate and dedicate a piece of furniture. Applications are accepted from January 1 to May 31 annually.  Donated furniture will be placed on municipally owned land at a mutually agreed upon location.

Cochrane reserves the right to limit the number of pieces of furniture installed each year.

Memorial choices:
Applicant
Enter up to three communities in order of preference. 

Access to Information and Privacy Protection

The personal information collected through this form will be used to process your application. The information relates directly to and is necessary for the operation of the program or activity applied for and will be input into an automated system to generate content or make decisions, recommendations, or predictions. This information is collected and used under the authority of Section 4(c) of the Protection of Privacy Act and managed in accordance with the Act. For questions about the collection of personal information, please contact ATI@cochrane.ca.