Form J: Pastoral Cross Agreement for Use

I agree to take full responsibility for the Pastoral Cross, including the base and all packing materials. I agree to refrain from moving or lifting the cross without the help of another. I agree not to use the cross with out its base or for a purpose other than its stated intent. I understand that if the cross breaks or is damaged while in my possession, I am fully responsible for covering the cost of repairing or replacing the cross and its base, if applicable. Damage that will be my responsibility includes, but is not limited to, glass breakage, lost pieces, marks or stains on the cross or its base that can not be removed, permanent writing on the cross or its base and other damage that would prevent another parish or school from using the cross.

Name of Responsible Party* This field is required.

Parish/School* This field is required.

Phone Number* This field is required.

E-mail* This field is required.

Name of Deceased* This field is required.

Relationship to Community* This field is required.

Cause of Death* This field is required.

Date of Death* This field is required.

Funeral Arrangements* This field is required.