"The length of a life doesn't impact the love we have. We simply had less time with our children, not less love for them" ~ Amelia Kowalisyn

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Stillborn And Infant Loss Support is dedicated to honoring all babies gone too soon. Thank you for sharing an angel baby with us. It is our pleasure to join you on this journey and honor the life of your little one. By completing the information below, you give us permission to add the name and date to our public website.

Email *

Your first and last name *

Phone Number *

Your date of birth *we would like to send you an electronic birthday card, to opt out enter N/A *

Please enter the name of your baby and the date(s) that you would like to add to our website. *

Would you like for us to send you a small token from SAILS on the birthday/anniversary dates for your baby? *

Yes

Required

If you answered "Yes", please enter your mailing address below, Street address, city, state & zip code

Would you like to receive newsletters, event information and resources from SAILS via email? *

Yes, please

No, thank you

How did you learn about us? *

Comments

Confirmation *

I verify that I have checked the above information for spelling accuracy and give my permission for the baby added to be listed on the Stillborn And Infant Loss Support website. I also verify that if I have opted in to receive birthday communications, I give SAILS permission to either send this communication via postal mail or at the phone number provided.

Required

Send me a copy of my responses.

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