AK Afterglow Remembrance Event Registration
Please fill out this form to register and provide necessary information. This is a free event. We hope you’ll join us as we come together to remember and celebrate the lives of our beloved children. Event Address: Abbott Loop Community Park, 8101 Elmore Rd, Anchorage, AK 99507 Date: Saturday, September 19th, 2026 Event Starts at 12:00 Noon Contact us at Kim: (907) 529-4289 Christine : (907) 360-2370 or info@AKAfterglow.org. REGISTRATION CLOSES ON 8/29/2026 at 5:00PM You can still attend the event without registering. We will have limited shirts and hoodie's available at the event, FCFS.
Participant Full Name
*
First Name
Last Name
Baby's/Child's Name Being Honored (Please put their full name or how you would like it in the program and read during our ceremony)
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Shirt Size (Shirts are free due to a generous donor)
*
Please Select
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Shirt personalization: (Examples: Amelia's Mommy, Team Kannon) If no shirt personalization, please put N/A.
*
Hoodie size ($50 each-Payment below)
Please Select
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Small
Medium
Large
X-Large
XX-Large
Hoodie personalization (Personalization only available during pre-order).
Photo Release
I hereby grant AK Afterglow permission to take, use, and reproduce still and moving photographs, films, and television pictures of me and my family, and to circulate and publicize the same by all means including, but not limited to, newspapers, television media, the internet, brochures, pamphlets, books, posters, billboards, and instructional materials, for the primary purpose of promoting AK Afterglow and its work.
Liability Waiver
I, the undersigned, waive all claims against AK Afterglow and their agents, sponsors, personnel, or volunteers for any injury that may occur during the event. I attest that I am physically able to participate and assume all risks associated with my participation.
If you would like to include your Baby/Child's photo on our "This isWhy" wall, please attach it here or email it to info@akafterglow.org
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