Loved One's Submission List
Please fill out this form with the name of your loved one who was lost by suicide. We will read their name aloud before the candle lighting begins.
Sign in to Google to save your progress. Learn more
Loved One's Name (First and Last Name):
Phonetic Spelling (i.e. Camille = Cuh-mee-ul)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy