Oct. 2021 Child Remembrance Form

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On October 15th 2021, Aubrielle's Hope will be hosting a remembrance event at 7pm at Livingston Park in Manchester NH. At this event, we will have small remembrance items for children whose family submitted their name. If you attend the event, you will be able to take home that item. If you are not attending, we will take a picture of each item for families to see.

If you would like your child remembered specifically at this event, please fill out the form below.

Your First and Last Name *

Your Email (we will send a picture of the item to you if you cannot attend in person). *

The Child's First and Last Name that you would like remembered *

Would you like us to include your child when we read names of specific children we are remembering at the event out loud? *

Yes

Will you be attending the event in person on Oct 15th? *

Yes

If you are attending in person, how many people will be attending in your family (or group)? Write N/A if not attending in person. *

Submit

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