Honor Your
Child’s Memory

Name

(Parent/guardian submitting)

First Name

Last Name

Email

(In case we need to follow up for clarity or permission)

Child's Name

(As you'd like it displayed)

Child's Date of Birth

(Optional)

Child's Date of Passing

(Optional)

Your Tribute or Message

This could be a sentence, a paragraph, or anything from the heart. You could share what you want people to know about them, what they loved, or how they made the world brighter. You can also include their age and diagnosis if you'd like. Use this space to honor them however you would like. Share as much or as little as you want. Include their favorite color(s) if you're comfortable.

Would you like us to honor your child's story via future posts on our social media page(s) as well?

Optional Preferences

Please let me preview the entry before it goes live (Sent to the email you provide)

Permission to Share

I give permission for my child's name, photo (if provided), and tribute to appear on the Cordelia's Courage Collective website's Virtual Remembrance Wall

Honor YourChild’s Memory

Quick Links

Honor Your
Child’s Memory