Holiday Remembrance Ceremony

A ceremony for families grieving the loss of a child.

A photo (if available) of your child will be used in a presentation shown during the ceremony.
Original photos will be returned to you after the ceremony.
You will get a candle in memory of your loved one.
The first candle is free. An additional one may be purchased at $5 per candle.
There will be cookies and punch following the ceremony.

Please fill out the form below or download the PDF here.

Full Name *
Number Attending *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Phone *
Email *
Name to be placed on candle *PLEASE PRINT CLEARLY
Phonetic spelling of name Phonetic spelling of name to be read during the ceremony
Photo Being Mailed?
Abbey Rose Foundation 211 Ohio Street Huron, Ohio 44839Yes, It's in the mailNo, not submitting oneYes, Emailing abbeyrosefoundation@gmail.com
Additional candles ($5/CANDLE) $5/Candle
Story As you walk up to light your candle, we would like to share a 2-3 sentence story, memory or hope for your loved one that we will read aloud. This is optional. Longer sentences will be edited due to time constraints, and to ensure that we honor all families in attendance
Payment Method *
Please choose your method of paymentI Will Mail CashI Will Mail CheckI Will Bring Payment to Ceremony
Currency

Holiday Remembrance Ceremony | 2017