Interdenominational Infant Memorial Service Registration

 

7pm, May 11th, 2019

St. Leo the Great Catholic Church

 

Fill out the form below to register.  There is no cost to attend.  Note: Persons at different addresses should register separately. Households can register together.

 

Download the Full Flyer

 

You and the Baby's Name for listing in the program and stating during the service (ex: Chaney Mullins honors her brother Sam Mullins; Mark and Liza Trillino honor their children Jacob, Jack, and Betsy Trillino)
Text to appear on a certificate(s) of life that acknowledging the baby's human dignity: (ex: Chaney Mullins, honors Sam Mullins, my brother lost to miscarriage; In honor of the life of my grandchild Baby Jones, child of Betsy Jones.) Please feel free to request individual certificates for each child.
Church / Parish
Any special requests? (such as reception dietary restrictions; if you would like to be called up at the same time as your friend attending the service)
Country
State / Province*
Address
City
Email*
Confirm Email*
Phone*
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