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Hearts Abide Name Submission
Your First Name
Your Last Name
City, State, & ZIP Code
Your Phone Number
Date of Significance (Due date, Birth date, Heaven Date)
Social Media Release
I give my permission to have baby acknowledged on social media on the "Date of Significance"
Volunteer Opportunities (Check All That Apply)
Yearly Remembrance Event Volunteer
Personalized note writing for the Infant Memory Boxes & MisCAREage bags
Infant Memory Box & MisCAREage Bag Assembly
Community Awareness Volunteer
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