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AGREEMENT CONCERNING
PLACING OF LAST REMAINS IN THE COLUMBARIUM
Name of Person
__________________________________________________
A columbarium ("Columbarium") is presently located in the nave of the Church building of
The Episcopal Church of the Good Shepherd (“Good Shepherd"), 2929
Woodland Hills Drive,
Kingwood, Texas.
I. PURPOSE:
This agreement sets
forth certain limited rights with respect to placing the cremated
remains of the person
designated above in the Columbarium.
II. PLACEMENT OF
REMAINS:
It is recognized that
the Columbarium is constructed as one common area and that no
particular space may be
chosen for placement of ashes .Ashes must be placed in the
Columbarium in a heavy
duty vinyl container of standard size and shape, provided by the
crematory and approved
by the Rector of Good Shepherd. The container must be affixed
with a label which
properly identifies the remains of the person.
III. COST OF LIMITED
MEMORIAL:
The Columbarium is
provided to eligible persons free of cost as a ministry of Good
Shepherd.
IV. MARKERS:
The name of the person
whose remains are interred in the Columbarium shall be inscribed on an
individual name plate along with the person's year of birth and death.
The plate will be attached to a memorial plaque located on the outside
of the Columbarium. The name plate will be the only individual marker or
memorial permitted in the Columbarium.
V. RIGHT TO ABANDON
COLUMBARIUM:
The right is expressly
reserved to convert at any time the Columbarium to another use,
either prior to or after
remains are placed in the Columbarium. Any remains in the
Columbarium at such time
will be caused to be removed by the Episcopal Church
Council of the Diocese
of Texas (“Church Corporation") with the advice and consent of the
Bishop or ecclesiastic authority of the Diocese of the Episcopal Church
in which the
Church is located (the
"Diocese") to a location selected by the Church Corporation,
including but not
limited to, any property owned by the Church Corporation or the
Diocese or any parish or
mission congregation thereof, or in the alternative, in the Gulf of
Mexico beyond the twelve mile coastal limits of the
United States of America
or in the alternative, in any other columbarium.
VI. NOT A PERPETUAL CARE
CEMETERY:
It is expressly
recognized that the Columbarium is neither a perpetual care cemetery, a
permanent maintenance
cemetery or a free care cemetery. Nothing in this agreement
should be construed as
to requiring Good Shepherd, Church Corporation or the Diocese to
maintain the Columbarium as a perpetual care cemetery a permanent
maintenance cemetery, or as a free care cemetery, and nothing in this
agreement should be construed as to requiring the person signing this
agreement on behalf of the deceased to contribute consideration for the
perpetual care or permanent maintenance of the Columbarium.
VII. NO DEDICATION:
It is expressly
recognized that neither the Columbarium nor any part of the facilities of
Good Shepherd has been
dedicated as a cemetery or for any purpose relating to the
placing of remains and
is not a dedicated cemetery and will not be so dedicated. Nothing in
this agreement should be construed as to requiring the dedication of
the Columbarium or any part of the facilities of Good Shepherd as a
cemetery or for any other purpose.
VIII. RELEASE:
The undersigned hereby
on behalf of the deceased and all next of kin, releases and
saves harmless Good
Shepherd and its Vestry, staff and clergy, the Diocese and its
Bishops, the Church
Corporation and its Board of Directors, such aforementioned
natural persons in both
their individual and official capacities of and from any claims,
demands, liability and causes of action whatsoever by reason of their
administration
maintenance, conversion,
conveyance or alienation of the Columbarium or operation or abandonment
of the Columbarium including the sole or concurrent negligence or strict
liability of any of the aforementioned entities or persons.
IX REGULATIONS:
The Columbarium, its
use, the procedures for placing remains, and all aspects of its
operation are subject to
the continuing control and regulation of Good Shepherd
Church, the Church
Corporation and the Diocese.
X. BINDING EFFECT:
Each and every covenant
hereunder shall be binding upon each party's heirs, executors,
administrators,
successors and assigns and shall inure to the benefit of each party's
heirs, executors, administrators, successors and assigns. This agreement
is signed by the next of kin of the deceased the time the remains of the
deceased are placed in the Columbarium and such person represents it has
consent of all next of kin to enter into this agreement.
IN WITNESS WHEREOF, the
parties execute this agreement this the __________ day of
__________________A.D.
NEXT OF KIN
BY: ____________________________
Relationship of next of kin executing this agreement:
___________________________________________
THE EPISCOPAL CHURCH OF
THE GOOD SHEPHERD
BY:
_______________________________
This agreement should be
signed by the next of kin in the following priority at the time such
cremated remains are placed in the Columbarium:
Spouse
Children, if spouse not
alive
Parents, if children and
spouse not alive
Siblings, if all of
above not alive
Siblings decedents if
all of above not alive
Grandparents if, all of
above not alive
Grandparent decedent if
all of above not alive
Rev. l-97 |