4th Annual Ancestral Starseed Honoree Form

Cherishing Life Beginnings Doula and Birth Educational Services, LLC & Cherishing Life Beginnings Divine Mother Foundation, Inc. brings to the community members of LaGrange, GA 4th Annual Ancestral Starseed Celebration in honor of Pregnancy and Infant Loss Awareness Month. This event will be held on October 4, 2025 from 6:30pm-8:00pm at The Square Downtown LaGrange, GA 30240.

Cherishing Life Beginnings Divine Mother Foundation, Inc. is a 501©3 nonprofit organization that was established in 2021. The mission of Cherishing Life Beginnings Divine Mother Foundation, Inc. is to service the community by providing free and/or low cost childbirth services, scholarships for holistic doula certification birth training, mentorship programs, and events for expectant mothers and their families, single and teen mothers, and mothers and families that have experienced child loss. To do this, we must bring awareness to the needs of doulas and other birthworkers, address BIPOC maternal problems by finding creative ways to solve them, and celebrate the victories and triumphs of the journeys of pregnancy, labor, birth, and postpartum. At CLB Divine Mother Foundation, Inc. we are dedicated to doing just this in Columbus, GA and the surrounding areas because every expectant mother needs a doula.

Thank you for joining us in honoring the memory and light of your loved ones during our Annual Ancestral Starseed Celebration. Please fill out the information below so that we may respectfully recognize your child’s name in our ceremony.

Parent(s)/Guardian(s)

Contact Phone Number

Email address

Child's Information

First NameLast Name

Type of Loss

Date of Birth

Date

Date of Loss

Date

Would you like to light a candle in honor of your child during the ceremony?

YesNo

Would you like to place an item on the community altar?

YesNo

If you would like an image to be placed on the altar, please provide an image for the altar (if applicable); jpeg images please

Browse Files

Is there a song, poem, or scripture you would like shared during the ceremony?

Special Message or Memory you would like to share of your Starseed or Mother Earth

Would you like to join our mailing list?

YesNo

Would you like to plant a seed in the community effort of bringing awareness of Pregnancy and Infant Loss?

YesNo

If Yes, Please provide the Seed Donation of LOVE Amount

USDDonation

Signature

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

4th Annual Ancestral Starseed Celebration

Ancestral Starseed Family Information

Ancestral Honorees