Note: form for submitting names will be coming soon. Please check back.
During our Program of Awareness, Remembrance and Celebration, we are going to take a few moments to honor our loved ones who died by suicide by having their names read. This can be a heartwarming way to remember them.
If you are planning to come to this great event, you may also choose to participate in this tribute. To have the name of a loved one read, you need to fill out the below form.
You can only have the name read if you complete and submit the following form:
Please note: submitting this form only gives permission for your name to be read in 2017.
We must receive this information on-line absolutely no later than September 7, 2017 (This form will be removed at midnight on 9/7/17).
We know having a name read can be very important, so, please be careful in your submission; look for your email confirmation; if you do not receive this, call and/or email Sandy. If you still are worried that your name is not registered, as a back up, you may also email Linda to get additional confirmation. Her email is email@example.com. She will email you back.