To have a volunteer carry your loved one’s name during our
Day of Community & Caring
4th Annual  Statewide Walk To Remember
please use the form below

Have a Loved One's Name Carried

Can't join our Day of Community & Caring
4th Annual Statewide Walk to Remember?
Allow us the honor of carrying your Loved One's Name

Your First Name *

as you prefer to be called

Last Name *

Address *

City *

State *

Zip *

E-mail address *

Phone Numbers *

please list the best phone numbers to reach you and and any time preference to reach you

You are a bereaved *

Parent

Sibling

Grandparent

Friend

Other

please check all that apply and write the relationship next to the names to be carried if requesting multiple names, please

Please share "Other" relationship

Child, Sibling or Loved One's Name(s) please list name and relationship *

for example: RobynApril-daughter, René George Rivard- Brother

TCF Chapter - Name, City, State (if applicable)

How Did You Hear About A Day Of Community & Caring ~ The Annual Statewide Walk sponsored by The East Of The River CT. Chapter? *

Did you (or will you) submit Your Loved One's Name to Be Carried in the National Walk to Remember? *

Yes

No

Didn't know about it

For information about Submitting Names to the NATIONAL WALK TO REMEMBER visit: http://www.compassionatefriends.org/Walk_to_Remember/walktoremember.aspx Names must be submitted by July 8 to be included in The National Walk.

If you are human, leave this field blank.

Whether during our Statewide Walk To Remember, hosted by the East Of The River CT Chapter,  or for the National Walk to Remember  there is never a fee to have your child’s or sibling’s name carried.
(Donations are tremendously appreciated and help us in our outreach to bereaved families across the country).

DONATIONS ARE APPRECIATED

The Friends Asking Friends® virtual walk fundraiser allows individuals, teams, and chapters to register on-line and, using e-mail and other methods, raise monies that support the programs of  The Compassionate Friends both on a national and chapter level.   Our Local Chapter is HOLDING HANDS HUGGING HEARTS  and you can easily make a donation to any team member in honor of their loved one, or a general donation to the team.  On the National Level, as much as $80,000  has been raised through the “Friends Asking Friends” program, which continues to grow every year as more and more participate. ♥