Remembering Canadians lost to COVID-19
HuffPost Canada is gathering the stories of Canadians who died from COVID-19, to help remember their lives and honour their memory.
By filling out this form, you agree to allow HuffPost Canada to contact you, and/or use your responses in a story. Responses may be edited for clarity and/or brevity.
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Your name:
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Your answer
Age:
Your answer
Phone number:
Your answer
Email address:
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Your answer
Your loved one's name:
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Your answer
Your relation to them:
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Your answer
Their age:
Your answer
Their location:
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Your answer
The date they passed away:
Your answer
Remembered by (names of family and loved ones):
Your answer
What would you like your loved one to be remembered for?
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Your answer
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