Scattering of Cremated Remains Permit Application

Applicant Info

First (required)

Last (required)

Date of Birth (required)

Address (required)

Address 2

City/Town (required)

State/Province (required)

ZIP/Postal Code (required)

Home Phone (required)

Cell Phone (required)

Email Address (required)

Request Details

Request to scatter the ashes of (name of deceased) (required):

Relationship to Applicant (required)

Preferred Date (required)

Preferred Park (required)

Preferred Location (required)

Alternate Date

Alternate Park

Alternate Location

Upload a map showing the preferred location. Alternates will be considered if first choice is not available.

One file only.
100 MB limit.
Allowed types: pdf.

Maximum number of participants (required)

Have you visited the requested area? (required)

Yes

List of any equipment (i.e. tables, chairs, etc.) (required):

Do you require any special accommodations? If so, please explain: (recommeded)

Guidelines for Issuing Permits to Scatter Cremated Remains:

Written documentation from a mortuary or crematorium identifying the cremated remains as such must be provided to the Park District with the permit application.

Attachments: (required)

One file only.
100 MB limit.
Allowed types: pdf, doc, docx.

The scattering of cremated remains is prohibited within 500 feet of; any known archeological, historical, or Native American ceremonial site, any residence, park structure, or public use area, any swimming pool, lagoon or beach, any reservoir, lake, stream, pond, or other bodies of water, any designated nature study area, wetland, marsh, or any other area specifically restricted by action of the Assistant General Manager of Operations.
No memorials, plaques, containers, markers, flowers, or other ceremonial materials of any kind shall be left on site after completion of the scattering process. Digging, planting, trimming, mowing, or modifying park features in any way is prohibited.
Cremated remains must be sufficiently scattered to not be readily visible by others.
A separate Special Events permit must be obtained from the Park District in addition to the cremated remains permit when the permittee anticipates that 50 or more people will attend the scattering ceremony. The scattering ceremony shall not impact the normal recreational use of the park.
The permittee shall have the permit in his/her possession when scattering cremated remains and shall show the permit to any Park District staff member upon request.
Permits to scatter cremated remains shall not entitle permittee to any special access rights. All regular posted park hours and use regulations shall apply. Park fees will not be waived for ceremonies associated with the scattering of cremated remains.
The scattering of cremated remains from an aircraft is not permitted.

The Park District makes no commitment or promise to treat areas where scatterings occur as sacred or memorial sites of any kind. Normal park uses, including public recreation, maintenance and operations activities shall continue without regard to the presence of cremated remains. The Park District shall not be responsible for maintaining records of permits, names of the deceased, or locations of scattered remains. The Assistant General Manager of Operations may specify additional conditions or restrictions to any permit and will be the final source of appeal regarding any disputes about this policy.

I agree to the above terms and conditions (required)

Scattering of Cremated Remains Permit Application

Applicant Info

Request Details

Guidelines for Issuing Permits to Scatter Cremated Remains:

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