Butterfly Release Registration | Hospice of the North Coast

Butterfly Release Memorial Registration

Butterfly Release Memorial

Thank you for attending our second annual butterfly release memorial, Sunday May 20, 2012. The memorial will begin at 2pm and end at 4pm. Light refreshments will be served following the event. A reflective walk after the ceremony is optional - comfortable shoes recommended.

Location
Agua Hedionda Lagoon Foundation Discovery Center
1580 Cannon Road
Carlsbad, CA 92008

Our bereavement services are available to families and the community, free of charge. We ask you to please consider making a donation to help us continue bereavement programs including, Camp H.O.P.E., our one-day healing outdoor play experience for children and families that have lost a loved one; Light Up A Life, our annual tree-lighting and memorial celebration where we remembered our deceased loved ones; and our individual and group support counseling.

If we can be of service, please contact one of our bereavement counselors at the number below.

Thank you,

Hope Bereavement Center
Hospice of the North Coast
(760) 431-4100, ext. 103

Name (first and last)
Address
City, State
Zip Code
Contact Number
Name of loved one being remembered in program
This is my first time attending a Hospice of the North Coast event
How did you hear about the Butterfly Release
I would like to be included on Hospice of the North Coast's email list
My email address is (if not applicable, please type N/A)
I would like someone at the Hope Bereavement Center to contact me for grief/bereavement support
Please type the number of people attending with you

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