We would love to honor your baby with you.

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Since we said "see ya later" to our son, Sam, serving others in his honor and connecting with other families that have experienced infant loss has been such a healing, special experience for us. We've heard from many families that doing things to acknowledge and honor their babies is very important to them.

Helping families to do these things is one of our favorite parts of Simply A Miracle, and we are so excited to offer several opportunities for you to work with Simply A Miracle to remember, honor, and share your baby and your story.

There are ways to be involved at any level, and we would love to have your family participate in whatever way(s) you feel comfortable. Please select any option you may be interested in participating in, either now or in the future.

As much as we would love to start everything right away, we just aren't superhuman. A few will happen very soon, and we will let you know as we roll out other options. None of the answers you give are binding forever. You can always let us know if you change your mind, and we may end up changing our plans as well. We'll keep in touch about all of it!

*A note about your baby's story - We know the stories of our babies are special and sensitive, and sometimes hard to share. They are also powerful and inspiring. These stories not only touch the hearts of all that hear them, they also help people understand the importance of supporting families that have to endure losing a baby. If you choose to share any part of your story with others through Simply A Miracle, we promise we will treat your family and baby with the great love and respect you deserve, and do our very best to honor your little one.

*A note about continued use - We may continue to use stories, photos, and names that are shared with us in future projects to raise funds, support, and awareness for infant loss families. Let us know if you have concerns with that.

Email *

My name is:

My email address is:

I would like my baby's name/family's name/symbol or nickname for baby on the Simply A Miracle website, name board, and t shirt.

Yes

Maybe later

Other:

Clear selection

I would like my baby's name and story shared on the Simply A Miracle website, social media, informational materials, and/or promotional materials, and at Simply A Miracle events.

Yes

Maybe later

Other:

Clear selection

I would like my baby or family's photo shared on the Simply A Miracle website, social media, informational materials, and/or promotional materials, and at Simply A Miracle events.

Yes

Maybe later

Other:

Clear selection

I would like to help deliver checks or gifts from Simply A Miracle to new loss families.

Yes

Maybe later

Other:

Clear selection

I would like to write a note to be included with checks and gifts for new loss families.

Yes

Maybe later

Other:

Clear selection

I would like to do a video interview about my baby's story.

Yes

Maybe later

Other:

Clear selection

I would like to speak about my baby's story at a Simply A Miracle event.

Yes

Maybe later

Other:

Clear selection

I would like to volunteer at Simply A Miracle events.

Yes

Maybe later

Other:

Clear selection

I would like to partner with Simply A Miracle to host a fundraiser event in my community. (There are various possibilities that we have considered on this one. The standard would be a Simply A Miracle fundraiser fun run with Simply A Miracle doing most of the planning, and you helping to spread the word. The funds would go directly to the Simply A Miracle fund. We are also willing to consider the other listed options, something special to your family, or anything else you have in mind. We know life is crazy and now might not be a good time for you to partner with us on an event, but if it's something you might be interested in now OR in the future, let us know. We'll put you on our list of possibilities!)

Yes, I would like to have a fundraiser in my community and just want the standard Simply A Miracle fun run.

Yes, I would like to have a fundraiser in my community with the proceeds going to Simply A Miracle in general.

Yes, I would like to have a fundraiser in my community and have a specific family in mind that I would like to help with the proceeds.

Yes, I would like to have a fundraiser in my community and have a specific activity in mind for the event (examples: benefit concert, bike ride, movie showing, auction, restaurant fundraiser, etc.)

Yes, I would like to have a fundraiser in my community, but not right now.

I'm not interested in this option.

Other:

I have another idea for a way I would like to be involved with Simply A Miracle.

The name/nickname/family name/symbol I would like to be used for my baby is: (examples - Samuel David Wilcock, Sam, balloon, Baby Wilcock)

We would love to share your own words about your baby and your story. For the sake of this form, please keep your answer relatively brief. We may contact you for more information. We also want to give you a heads up that answers may be formatted, lightly edited for grammar, spelling, etc., and/or used in smaller pieces.

Questions, concerns, or comments:

Notes about your answers:

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