Baby Memorial Form 2020
If you are a volunteer for the Pink and Blue Awareness Project 2020, you are eligible to submit the name of a baby (or babies if you have had multiple losses) to be honored if you wish. All baby names submitted will be complied into a list - this list will be included in every bracelet shipment that is sent out. It is a special and unique way to honor your baby(ies), and it is only for those who volunteer!

Please note that all names need to be submitting by JULY 22, 2020 in order to be added to the printed baby memorial cards. Any names received after this date will only be recognized on our remembrance web page.
Email *
First Name *
Last Name *
What is your volunteer role? *
Baby name for Memorial Card *
**** PLEASE MAKE SURE THE NAME IS TYPED EXACTLY AS YOU WANT IT TO APPEAR ON THE CARD. WE WILL NOT BE EDITING OR SPELL CHECKING NAMES. ***
I understand that all names need to be submitting by JULY 22, 2020 in order to be added to the printed baby memorial cards. Any names received after this date will only be recognized on our remembrance web page. *
Comments
A copy of your responses will be emailed to the address you provided.
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