This form is for submitting an “Angel Date” in order to appear on the Angel Dates Page of the site which makes it easier for others to remember.
This is not the page for submitting your loved one for a memorial tribute. That page is here .
If you would like a photo listed also you can email it to dan@neverlosefaith.com. If you have a website or an avatar we can use that also.

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Your Name(s) (required)

Your Email (required)

Your Screen Name (for use if you known on a forum)

Child's Name(required)

Reason/Cause (optional)

Date of Birth (day/month/year)

Angel Date (day/month/year)

Website (if you have a memorial website setup)

Other Children