Saturday, Oct. 5, 2019
5:30 - 8:00 p.m.
Northside Alpharetta Medical Campus, 3400 Old Milton Pkwy, Alpharetta, GA 30005

For more information, visit us at www.northsidepnl.com/atlanta-walk-to-remember.html or call (404)851-8177.  This free event will be held rain or shine.  Free parking is available in the deck.

Welcome to the registration page for the 15th ANNUAL ATLANTA WALK TO REMEMBER, hosted by H.E.A.R.T.strings Perinatal Bereavement & Palliative Care at Northside Hospital! We are honored to host this important event for the community. Please complete the following form to register. The event is free.

Please indicate how many adults and children will be in attendance with you at the event.  If you or part of your group will not be in attendance, please register as a virtual attendee.  There is NO CHARGE to attend.

If you are unable to attend the event but wish to participate virtually (example: submitting your baby's name and/or story, purchasing a keepsake or making a donation), please check the "Virtual Attendee" box below, complete the sections below and then follow the link after submission to pay.

This event is free.  However, if you would like to make a donation to help support future Atlanta Walk to Remember events, follow the link to the Northside Foundation page. This link will appear in your on-screen confirmation message.  Gifts are tax-deductible and may also be matched through your employer's matching gift program.

By selecting "Yes, I agree" below, I understand that registering or sharing my story, I authorize Northside Hospital and its affiliated entities to take and use photographs and video of me and my guests from this event, or to use my first name and the message of my story for any lawful purpose, including but not limited to advertising, marketing and other promotional and commercial uses. The photos and video, or my first name and the message of your story may be displayed in print, video or electronic form without restriction as to alteration and without compensation to me or my guests.  I hereby waive and release Northside Hospital and its affiliated entities from any and all claims or liability associated with such use.  

Please be sure to click the "Submit" button below upon completion of this form.  You will receive an on screen message that confirms the submission of your form.   The web link to purchase a keepsake will be included within this message or you can visit our website to be directed to the purchase site.