Contact Information

Country*
Email*
Confirm Email*
Phone*

Event Information

Because we have so many names to remember, we divide the day into 2 ceremonies. Children's last names beginning with A - I will be remembered at the 10 AM ceremony and J - Z will be at the 2 PM ceremony.

# Attending with you (including you)*

Tribute Information

Please write your child's name as you would like it to appear in the program and on the t-shirts. If you would like to include a middle name, please include it with the first name. Please submit dates in this format: XX/XX/XX.

 

Deadline for having child's name included on both is October 1, 2021. There is a $10 registration fee per child (please see below).

First Name 1*
Last Name 1*
Born Earth 1
Born Heaven 1
First Name 2
Last Name 2
Born Earth 2
Born Heaven 2
First Name 3
Last Name 3
Born Earth 3
Born Heaven 3
Additional Names and Dates

2021 Registration Fee & T-shirts

Registration fee includes a personalized angel w/child's name. ONLY ONE REGISTRATION FEE PER CHILD BEING REMEMBERED IS NECESSARY.

 

Shirt colors may vary depending on availablity.

 

 

Quantity
Price
Total
REGISTRATION FEE PER CHILD BEING REMEMBERED
X
$
10.00=
$
0

Youth S
X
$
15.00=
$
0

Youth M
X
$
15.00=
$
0

Youth L
X
$
15.00=
$
0

Adult S
X
$
20.00=
$
0

Adult M
X
$
20.00=
$
0

Adult L
X
$
20.00=
$
0

Adult XL
X
$
20.00=
$
0

Adult 2XL
X
$
25.00=
$
0

Adult 3XL
X
$
25.00=
$
0

Adult 4XL
X
$
25.00=
$
0

Adult 5XL
X
$
25.00=
$
0

Postage

T-shirts can be picked up at the event. IF YOU ARE NOT ATTENDING and would like your shirt(s) mailed, please add an additional $5 per shirt.

X
$
5.00=
$
0

Additional Donation

Additional donations are greatly appreciated as they provide ongoing bereavement services for families grieving the loss of a child.

X
$
1.00=
$
0

Final Total:
$
0

Would you like more information?

Areas of Interest

Payment Information

Amount*
$
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