FPC-Holt Covid-19 Memorial: Honoring the Lives of our Loved Ones
Representing the 500,000+ fellow citizens who have died from Covid, our congregation has created an outdoor art installation of handmade fabric doves - one for every thousand lives - to be suspended from our bell tower. If you have a loved one who has died from covid and would like to have them memorialized on one of the doves, please provide the information below.
* Required
Email address
*
Your email
First name
*
Your answer
Last name
*
Your answer
Phone number
*
Your answer
First name of loved one
*
Your answer
Last name of loved one
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Date of death
MM
/
DD
/
YYYY
First word to describe them
*
Your answer
Second word to describe them
*
Your answer
Third word to describe them
*
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
