Angela Hospice

Walk Team Honoree Form

Teams who raise $150 or more above registration fees will receive a team poster with a photo of your loved one along the route.

Submit this form with photos you would like included by August 20.

You may wish to include:

• Significant dates (like birth date, anniversary, and date of passing)
• A photograph or two
• A special memory, anecdote, or some of their favorite activities
• Submission must be no longer than 250 words (Angela Hospice reserves the right to edit as necessary)

Person completing form:*

First NameLast Name

Team Name*

Email*

Person being remembered*

Check here if you would like to use the same poster as last year:

Yes

Dates to include (if any)

What would you like to share about them?

Upload a photo

Upload an additional photo

Please verify that you are human*