Cemetery Reservation Questionnaire

We recommend designating one or two family members as primary communicators with the College. They will be in direct contact with the President’s Office at [email protected]. If the reservation is accepted, Bard will send the cemetery plot agreement to the applicant.

Required Personal Information

Please provide all of the information requested below.
Plot Reserved for:
Name Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Email
Type of Internment

Type of Internment Burial Cremation
Type of Plot

Type of Plot Individual Shared
If shared, indicate the names of the other individuals.
Optional Vault

Optional Vault Yes No
Family Contact
Family Contact Name Family Contact Name First Last
Relationship
Family Contact Address Family Contact Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Family Contact Phone Family Contact Phone - ### - ### ####
Family Contact Email
Additional Family Contacts

Cemetery Reservation Questionnaire

Cemetery Reservation Questionnaire

Required Personal Information

Plot Reserved for:

Family Contact