Remember Event Registration

Remember: An Evening of Reflection on Grief and Suicide Loss

Registration Form
Your Name

First NameLast Name
Email
example@example.com
Parish
Including yourself, how many people are you registering for this event?
For the name tags, please list here the names of any additional attendees whom you are including in this registration:
Remembering Our Loved Ones

During the evening's prayer service, we will read aloud the names of our loved ones who died by suicide. If you wish to have your loved one(s) name read aloud, please provide his or her name(s) below.
Name of your loved one(s):
Additional notes, special needs and/or ADA accommodations
Please submit accommodation requests at least two weeks before the event (October 23). Requests received will be accommodated, when possible, but cannot be guaranteed.
Should be Empty:

Remember: An Evening of Reflection on Grief and Suicide Loss