walk_of_remembrance_parent

Walk of Remembrance - Participant Form

Thank you for joining us in honoring and remembering the babies who are no longer with us. This Walk of Remembrance is a space for families to come together in support, love, and healing. Please complete this form so we can include your baby's name during the remembrance ceremony.
Name
Phone
Email
example@example.com
Address
CityCounty
Babys Name
Date of Birth

MonthDayYear
Date
I give permission for my baby's name to be read aloud during the remembrance ceremony and included in any event displays or programs.
Signature

Clear
Date

MonthDayYear
Date
Should be Empty: