Infants Remembered In Silence (IRIS) - Holiday Service Registration

Parents Name(s):

Address:

City/State/ZIP:

Phone:

Cell:

E-mail:

If you are not the child's parent, your name:

Your Phone:

Your Cell:

Your E-mail:

I/We will be attending this year's service. Family & friends are welcome.

I/We will bringing my pictures, keepsakes and/or holiday items to decorate the chapel windows - Highly Encouraged, no flames or water please

I/We would like to take part in the Holiday Service of Remembrance by:

Reading a poem, letter or scripture. Please e-mail a copy to support@irisremembers.com

Singing or pay an instrument

Title/Author/Instrument:

Bringing cookies/bars/other treat for the reception following the service

Donate a Christmas Ornament in memory of my child for the IRIS Christmas Tree

Set up on Saturday afternoon at 1:00 PM

Clean up on Sunday afternoon following the service

Other:

I/We would like to have the following child / children remembered during the service:

Holiday Service Registration