We will only call you if we have a question about the spelling or representation of your baby or child's nickname
This will allow us to report on actual attendance numbers
Name or nickname as you would like it to appear during the service. If you are remembering more than one baby or child who have the same remembrance date, please separate their names with a comma.
If you are remembering more than one loss please fill in here.
If you have more than three losses or issues filling out the form please contact email@example.com
We look forward to remembering your babies and children at this special service.
Thank you for joining us at the annual Red Nose Day Remembrance Service.
If you have any questions or would like to reach out to our team email firstname.lastname@example.org or call 1300 998 698
If you need support please call our 24/7 support line on 1300 308 307.