Complete one form for each participant

If you register after August 22nd, you are not guaranteed a t-shirt or memorial sign.

If you do not have the ability to pay or are not interested in a t-shirt or memorial sign, we encourage you to join us anyway at the Lights of Hope at 5:15pm for no charge.

$1.50

$1.50

T-Shirt: Recognizing those in Recovery

We would like to recognize those in recovery by including their name on the t-shirt. Complete the optional field below to recognize yourself or a loved one in recovery.

Memorial Sign: Recognizing Loved Ones Lost

Loved ones who we have lost to addiction will be recognized on a Memorial Sign. Complete the fields below to recognize your lost loved ones.

**NOTE** To submit additional names, please send an email to [email protected] detailing the information requested in the fields above.


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