Our Children Form

Your Name*
Email Address *
Mailing Address (to receive newsletters)
City
State
Zip Code
Daytime Phone
Evening Phone
Child's Name
Relationship to Child
Birthdate
Anniversary Date
Would you like to post an image of your child? Yes   No   
If yes, please email the low resolution image to info@tcfmercer.org
Upload photo
Would you like to link your child’s name to your own personal website? Yes   No   
If yes, provide the link to your personal website
Is there a special poem or letter you would like to post on the TCF Website in memory of your child? Yes   No   
If yes, please email the poem or letter to info@tcfmercer.org - please properly cite an author’s name and copyright if applicable. Please note that handwritten text will not be accepted
Anti-spam code*

Disclaimer: We welcome the submission of a photograph of your child to be included on our Internet site. As a word of caution, it is possible for a photograph to be copied from the Internet and later altered. The Compassionate Friends and this chapter are not responsible for the unauthorized copying or alteration of any photographs.