Join West Michigan Walk to Remember on Facebook Get driving directions to West Michigan Walk to Remember from Google Maps Follow West Michigan Walk to Remember on Facebook! West Michigan Walk to Remember 2010 Event Fallasburg Park

Participants must register by September 19, 2010, to guarantee baby’s name(s) & message in the memorial program, but registration will be open until and during the day of the event.

Contact Information
First Name(s)
 *
Last Name
 *
Address
 *
City
 *
State
 *
Zip
 *
Phone
 ( ) - *
Email Address
 *

Participant Information

# of Adults Attending
($5.00 per person)

 *

# of Children 12 & Under
(FREE)

Baby's name(s)
 

Baby's Name(s)

 

Please write baby's name(s) how you would like them listed in the program.

 Phonetic Spelling

Please give a phonetic spelling of your baby's name(s) to help those who will be reading the names at the Memorial Service.		 Birth Date(s)

Example: 01/01/2004		 Death Date(s)

Example: 01/01/2004
1*
//
//
2
//
//
3
//
//
4
//
//
5
//
//
6
//
//
7
//
//
         

Memorial Message for Program

Please write a short message to be included in the program.

 
(c) 2010 West Michigan Walk to Remember | Home | Contact Us
West Michigan Walk to Remember is a 100% Volunteer-Driven Organization