The Nightingale Centre 2024                                  Forget - Me - Not Picnic Registration
Our team at the Nightingale Centre looks forward to having you join us for our 2nd Annual Forget - Me - Not picnic event on Saturday, June 15. Location to be confirmed. 

The event will run from 11 a.m. - 3 p.m. and will be filled with activities, food, fun, and remembering.

Thank you for taking a few minutes to share your information; telling us who is coming to the event, and who you are joining us to remember. Please bring a picture of the person who died when you come on June 15th.

Please note the picture may get wet, folded, or crinkled, so don't bring your only copy, you could even bring a photocopy of your picture.
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Email *
NAME AND CONTACT INFORMATION
Last Name of Family  *
First Name of Primary Contact
Preferred phone number *
Apt., house number and street address *
Town/City  *
Postal code *
TELL US WHO IS COMING TO THE EVENT WITH YOU....
Total number of people attending (including yourself) *
First Name of Guest Two
Age of Guest Two 
First Name of Guest Three
Age of Guest Three
Names and Ages of any additional guests 
TELL US ABOUT WHO YOU ARE REMEMBERING
Name(s) of the special person(s) who died *
When did the person die? *
Relationship of Guest(s) to person who died (check all that apply) *
Required
If other, please share a few more details. 
We will be providing snacks and a lunch. Please let us know of any food allergies or dietary restrictions you/your guests have. *
Are there any special needs, accommodations, or limitations that it would be helpful for us to plan for and be aware of (i.e. hearing, vision, physical).
A copy of your responses will be emailed to the address you provided.
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