TOWN OF RIVERHEAD RECREATION & PARKS DEPARTMENT
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Memorial Request Application


The intent of the Town of Riverhead is to allow the placement of privately donated memorials in town parks/beaches to honor the memory of a former resident of the town. This memorial application shall be limited to approved memorial items and locations.

    Applicant's Information


    The Memorialized's Information

    As the applicant, I hereby certify that the information I have provided on the form is complete and accurate to the best of my knowledge. I understand that this application is subject to approval by the Town of Riverhead and I shall not place any memorial items on Town of Riverhead property without approval.
Submit
Town of Riverhead Recreation Department
60 Shade Tree Lane
Riverhead, NY 11901
​(631) 727-3200 x205

Town of Riverhead Parks Department 
55 Columbus Ave. 
Riverhead, NY 11901
(631) 727-3200 x737
  • Home
  • Programming
    • Winter 2023 Programs
    • Autumn & Early Winter 2022
    • Pickleball
    • Online Programming & Apps >
      • Live Classes Online
      • Virtual Recreation Resource Center
  • Facilities
    • Beaches
    • Docking Facilities >
      • East Creek Docking Facility
      • Peconic Riverfront Docking
    • Parks
    • Facility Rental Information
  • Community Projects
    • Adopt a Park
    • Community Cookbook
    • Youth Planning Board >
      • Little Free Libraries
    • Community Partners
  • Camps
    • Riverhead Recreation Camps
  • More Information
    • FAQ
    • Staff Directory
    • Evaluations >
      • Online Bus Trip Evaluation
      • Online Program Evaluation
    • Forms & Applications >
      • East Creek Waitlist Application
      • Community Center Use Application
      • Park and Beach Use Application
      • Park Maintenance Report
      • Memorial Plaque Application
      • Seasonal Employment