Memorial Service Registration Form

Please let us know who will be attending the service:

Parent and Attendee Information

Contact Information

Please choose ways you wish your child to be remembered during the service:

Photo Upload

(Max size 10MB)

Information Release Authorization

By typing your name below you are giving Children's permission use your child's photo and/or name during the Children's Memorial Service on May 21, 2016.

Finalize and Submit

Please call 612-813-7216 with questions or if you need help with registration.