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Infant Loss Remembrance Ceremony
Sunday, October 15, 2023 • 6:30PM
No cost to attend; registration required
Contact Information
Name
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First Name
Last Name
Address
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Address Line 1
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City
City
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Phone Number
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Email
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Number of Guests Attending
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Loved One to be Honored:
Name of Deceased Loved One to be Placed on Candle:
*
Phonetic Spelling of Name to be Read During Ceremony:
As you are walking up to light your candle, we will share a short story, memory or hope for your loved one. If you feel comfortable, please write a few sentences we could read aloud.
Photo of Loved One to be placed on Candle:
*
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Upload a photo now
Do not have a photo, please use photo of angel
Upload a Photo of Your Loved One:
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