BAY WATCH CRUISES – AUTHORIZATION FORM

USE THIS FORM ONLY IF THE FAMILY WILL NOT BE PRESENT

I authorize Bay Watch Cruises to scatter the cremated ashes of _____________________ (Deceased) at sea, by vessel, in the Pacific Ocean, off the Coast of San Diego County. I certify that I have full legal right and authority as Primary Next of Kin, and know of no living person who has superior right under state law, to authorize the disposition of the cremated ashes of the Deceased. I understand that scattering the cremated ashes will occur within 60 days of receipt and is subject to the terms and conditions set forth in this (1) Authorization Form, (2) Services Order Form, and (3) any applicable Federal, State, or local laws and regulations. I understand the obligation of Bay Watch Cruises is limited to scattering of cremated ashes as directed in this Authorization Form and Services Order Form. I agree to hold harmless and release Bay Watch Cruises from any and all liability, loss, damage or causes of action in connection with the disposition of the cremated ashes of the Deceased. Bay Watch Cruises is not responsible for any damage or loss of cremated ashes while being shipped.

____________________________________
_________________________________
Authorizing signature
Print name

_____________________ ___________________________________
Date Relationship to the Deceased

___________________________________________________________
Address

___________________________________________________________
City, State Zip


Will the Family be present for the ash scattering? YES _____ NO _____ please initial

Shipment of cremated ashes to Bay Watch Cruises by:

1. U.S. Mail (return receipt requested) ________ please initial
2. Hand delivery ________ please initial
3. Other (please explain) _____________________________________________

Please call us after completing and signing this (1) Authorization Form and (2) Services Order Form, then fax both forms to: Call first, then fax to: FAX (619) 222-2324

After faxing it is important that you send us the original papers noted in the Services Order Form both promptly and via the mail. We cannot proceed with your burial at sea without these signed documents.

Please call us with any questions: (619) 222-9999 or (800) 335-2785

Please mail the documents to:

Bay Watch Cruises
P.O. Box 60274
San Diego, CA 92166