Registration Form

TODAY’S DATE:
YOUR NAME(S)
ADDRESS
CITY
STATE
ZIP
TELEPHONE (including area code)
EMAIL ADDRESS
NAME OF CHILD
  Male   Female   
Child’s date of birth
Date of death
Your Relationship to Child
How did you discover TCF?
Do you wish to receive the bi-monthly newsletter? Yes   No   
Would you prefer to receive it by: Postal Mail   E-mail   

The Compassionate Friends will list the name of your child in the newsletter during the months of your child’s birth date and death anniversary, if you so desire.

“I hereby give permission for TCF to include the name, birth date, and death anniversary of my child in the “Our Children Lovingly Remembered” section of the newsletter during the appropriate months, from this day until further notice from me.”


WE NEED NOT WALK ALONE. WE ARE THE COMPASSIONATE FRIENDS.