Honor Your Angel - Submission
Thank you for your interest in allowing us to honor your angel. Please fill in the form below to help us honor them annually. Once you have filled in the form, please email a photo (if you would like to include one) to us at halosofthestcroixvalley@gmail.com. If we do not hear from you, we will reach out to you about your photo too.
Child's Name (how you would like it to appear on announcement):
Your answer
Birthday (if same as date of passing, please just list as the same as Angelversary):
MM
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DD
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YYYY
Angelversary (date of passing):
MM
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DD
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YYYY
Mother's Name:
Your answer
Father's Name:
Your answer
Siblings Name's:
Your answer
Your Email Address *
Your answer
Street Address: *
Your answer
City, State & Zip Code *
Your answer
Phone Number:
Your answer
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