Butterfly Release Registration

A healing remembrance for those who have
lost a loved one.

   Sunday, July 22, 2012 at 2:00 PM
       at Lakeside Memorial Funeral Home

Each family is entitled to receive one butterfly to hold and release during the program.  There will be music, a blessing, and refreshments. There is no fee for this event, but there will be a donation box available to help defray expenses.

Please fill out the form below to register for each event

First Name:
Last Name:
Phone Number:
Email Address:
Home Address:
Number of Attendees
Name of the person you are remembering: