The Empty Chair Photo Submission Form
Please submit up to 2 photos to be included in a rotating slideshow during the event. Deadline to submit photos will be Wednesday, December 10th. If you have questions regarding this form, please email sarah@cetacanyon.org.
Your email address
# Attendees
*
Parents' First and Last Names
*
Child's First and Last Name
*
Child's Date of Birth
*
Child's Date of Passing
*
Names of any siblings you would like to have listed
*
Photo #1
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Photo #2
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: