In order to build a mini memorial for your beloved son or daughter, certain basic information is required. The form below is provided as a convenient way to prepare and send the information. Those fields with a (*) are for required information; other fields optional.
* Date you joined the Grieving-Parents online support group? (mm/dd/yyyy)
You must have been a member for at least 3 months to qualify to have a Mini Memorial for your son/daughter.
* Select your choice of background.
Samples of the backgrounds appear to the left. Decide on the one you like and select it from the dropdown list.
A Part of the Grieving-Parents Support Group
* Select a symbol for your site.
The symbols that are available appear to the right. Decide on the one you like and select it from the dropdown list. If you have a special graphic you'd like to use send it attached to a separate e-mail.
* Name of Son or Daughter (include nickname if desired)
* Date of Birth (mm/dd/yyyy)
* Date of Death (mm/dd/yyyy)
* Your name (and other parent's name if desired)
Siblings Names of Son or Daughter and Relation (e.g. sister, brother)
Cause of Death
Place of Burial
Location of Ashes (if cremated)
Brief description of child or poem (if desired)
* 2 Photos of child or 1 of child, 1 of parents.
Send photos as attachments in a separate e-mail to Maureen
Angel Baby Girl
It is my pleasure to create this memorial for you, but please be patient while waiting for your page to be ready. I will send you a sample for your approval before posting to the GP web site.
* Your E-mail Address
The Mini-Memorial for your son or daughter will not be added to the Grieving-Parents site if all required information is not received. (This includes letting me know if you intend to include any photos with your request.)
Your request will be acknowledged upon receipt;
however, if I include questions with that receipt and do not receive an answer within one week, you will have to resubmit your request for a Mini-Memorial.