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Forever Strong — Little One Dedication Submission
Thank you for choosing to honor your little one with us. This space is a gentle, safe place to remember and celebrate their life. Please share only what feels comfortable for you.
Parent/Submitter Name
*
Relationship to little one
*
Relationship to little one
A
Mother
B
Father
C
Both parents
D
Grandparent
E
Sibling
F
Other
G
Prefer not to say
Little One's name
How would you like us to display your little one's name?
*
How would you like us to display your little one's name?
A
Full name publicly
B
First name only
C
Anonymous
D
Not sure yet
Share anything!
Type of loss
*
Type of loss
A
Miscarriage
B
Stillbirth
C
TFMR
D
Newborn loss
E
SIDS/SUIDS
F
Prefer not to share
Would you like to share a photo of your little one? (can be ultrasound, or anything you want)
*
Would you like to share a photo of your little one? (can be ultrasound, or anything you want)
A
Yes
B
No
Birth month/year or due date
Would you like to receive a small gift?
*
Would you like to receive a small gift?
A
Yes
B
No
Email Address
*
Consent
*
Consent
I give Elevate Life Fitness & Wellness and Forever Ours Foundation permission to use the information and photo I've shared as part of the Forever Strong Challenge. I understand I can request changes or removal at any time.
Submit