In Memoriam Request Form

Request an In Memoriam Page for your Loved One

The CdLS Memorial Site is a sacred space for family and friends to share happy memories or say a few words about the life of their loved one. Would you like to share your memories here? We hope so. To create a page to honor your CdLS Angel, please submit a photo and a few words or happy memories. Once posted and created on our site, feel free to invite family and friends to add their memories and supportive comments.

Simply fill out the form on this page and click Share.

First name

Last name

Phone

Street Address

Street Address Line 2

City

Province/Territory

Postal Code

First Name

Last Name

Date of Birth

Date of Death

Release Information * I wish to be included in the CdLS Memorial page & I give permission to the Canadian CdLS Foundation to publish this information and any photos supplied by me on the CdLS website.

Please tell us more about your loved one. You can upload a photo in jpeg format by dragging and dropping it in the text box below (if you do not want to include a photo, we will supply a candle stock photo). This information will be included on their memorial page. (500-character maximum)

Upload a photo here

Upload File

Thanks for sharing! We’ll get back to you shortly.