VMG CONSENT & RELEASE FORM

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_____________________________ (ANGEL'S NAME)

I UNDERSTAND VMG IS A PUBLIC PARK AND EVERYONE IS WELCOME

_______(INT)

I UNDERSTAND VMG IS NOT RESPONSIBLE FOR ANY DAMAGE AND OR THEFT TO YOUR PLAQUE

_______ (INT)

*** PLAQUES INCLUDED *** ANGEL PLAQUES, WALKWAY PLAQUES, NEVER FORGOTTEN PLAQUES,

SPONSOR PLAQUES, BENCH PLAQUES, MONUMENT PLAQUES AND ANGEL STATUE PLAQUES.

VMG GARDEN HOURS ARE POSTED BY CORPUS CHRISTI PARKS AND RECREATION

PLEASE DO NOT VIOLATE CORPUS CHRISTI PARKS AND RECREATION RULES:

3102 OCEAN DR CORPUS CHRISTI TEXAS 78404 (LOCATION OF GARDEN)

THIS CONTRACT IS FOR THE VICTIMS MEMORIAL GARDEN, HERE FORWARD KNOWN AS (VMG). ONCE WE DONATE AND PLACE YOUR PLAQUE IN THE GARDEN ONLY VMG HAS THE RIGHT TO REMOVE A PLAQUE FROM THE GARDEN.

BY SIGNING THIS I UNDERSTAND I AM FULLY WAIVING MY RIGHTS TO VMG DECISIONS AND VMG HAS NO RECOURSE FOR THESE ACTIONS.

BY SIGNING THIS AGREEMENT, I FULLY UNDERSTAND THIS AND WAIVE ANY AND ALL LEGAL ACTION AGAINST VMG IF MY PLAQUE IS REMOVED BY VMG. I AGREE TO RELEASE ALL RIGHTS.

I HEREBY GIVE FULL CONSENT AND DONATE THIS PLAQUE AND HEREBY SWEAR AND AFFIRM I HAVE PERMISSION TO DO SO REGARDING THE NAME AND PHOTOGRAPHIC REPRESENTATION OF THE INDIVIDUAL ON THE PLAQUE.

IF REMOVAL OF PLAQUE OCCURS, IT WILL BE RETURNED TO THE PERSON NAMED ON THIS AGREEMENT BY VMG.

NO REFUNDS ARE ISSUED OR ENTITLED AFTER PLAQUE IS ORDERED.

________(INT)

*** BY SIGNING THIS CONSENT & RELEASE FORM DOES NOT GUARANTEE PLACEMENT OF PLAQUE(S) ***

I HAVE READ THE QUALIFICATIONS FORM AND UNDERSTAND AND AGREE TO OUR TERMS:

________(INT)

VMG CONSENT & RELEASE FORM

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______________________________SIGNED                                                                                    

______________________________PRINT

RELATIONSHIP TO VICTIM? ____________________________

DATED ____/____/____

 

­­­­­­­­­­­­______________________________VMG REPRESENTATIVE

______________________________SIGNED

______________________________PRINT

DATE ____/____/____  

VMG OFFICE:                        

NONPROFIT ORGANIZATION 501(C)(3)

3536 S. PADRE ISLAND DR CORPUS CHRISTI TEXAS 78415

(361)236-0164 (OFFICE/CELL)

(361)452-3157 (FAX)

VICTIMSMG@GMAIL.COM (EMAIL)

NUECESCOUNTYVMG.ORG (WEBSITE)

CAUSE OF DEATH:

( PLEASE CIRCLE AND BRIEFLY EXPLAIN)

HOMICIDE

MANSLAUGHTER

DIED BY SUICIDE

  • MUST BE SIGNED AND DATED

  • MAIL TO US @ 3536 S. PADRE ISLAND DRIVE CORPUS CHRISTI TEXAS 78415

  • EMAIL TO US @ VICTIMSMG@GMAIL.COM

  • FAX TO US @ 361-452-3157

  • DROP OFF AT THE VMG OFFICE ADDRESS SAME AS MAILING

  • THANK YOU, FALLON WOOD ( PRESIDENT/FOUNDER )