Candles of Remembrance RSVP Form

Your Name (required)

Your Email (required)

Your Loved Ones Name

Will you be attending the in person ceremony on November 28th?

If yes, how many in your party:

Would you like your loved one added to the virtual memorial wall?
YesNo

Would you like a special message added to the Memorial Wall?

Is your memorial for a baby or pregnancy?

If you would like a photo of your loved one to be included on the memorial wall, please attach a photo. This photo may include your loved one (no group photos please). You can attach up to 1MB jpg, eps, png or pdf file. Should you have any difficulties attaching your photo, please email amanda@hospiceorillia.ca for assistance.

By checking below:

You provide Hospice Orillia permission to share your loved ones name and/or photo during the Candles Remembrance ceremony and on the Hospice Orillia website (if applicable).

Would you like to receive a copy of the Hospice Orillia monthly newsletter sent directly to your email address?YesNoAlready Receive

Grief is a normal reaction to the loss of a loved one. It can also be a reaction to the loss of relationships, physical ability, opportunities or future hopes and dreams.

Bereavement is the state of having suffered the loss of a loved one. It is the time after a loss during which grief is experienced and mourning occurs.

Mourning is the external expression of grief. It includes rituals that mark someone’s death, such as funerals, wakes or memorial services. Mourning is strongly influenced by a person’s spiritual and cultural beliefs and practices.

Hospice Orillia is committed to creating and maintaining an environment free of discrimination. All individuals are treated with respect and dignity, and have equal opportunities. Our programs, services and opportunities will be accessible regardless of age, ancestry, colour, race, citizenship, ethnic origin, place of origin, creed, disability, family status, marital status, gender identity, gender expression, receipt of public assistance, record of offences, sex, or sexual orientation. We always provide a positive space to our clients, volunteers, and staff.

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