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Birthday Tribute

Thank you for taking the time to share a part of your heart with us. This form is dedicated to honoring the birthdays of both you and your beloved child. We want to celebrate their lives, their legacies, and the love you continue to carry for them. Your story will be shared on social media as part of a tribute to acknowledge both your birthday and your child’s, offering a moment of reflection, connection, and remembrance.

Mother's Information

Birthday

Your Child's Information

Photo Submission

Acknowledgment & Consent

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