Bereavement Care Centre - Request a Dedication

Just For Kids - The Bearing Up Club - Click Here to Play fun Games

Request a Dedication

Please fill out the form to request your dedication. Thankyou.

Dedications on this site are free though donations through our online shop are welcome and will help us maintain our free service for bereaved children.
See our website for Childhood Grief

* Required

* First Name: (of the person you are making the dedication to) * Last Name of the person: * The Relationship of this person to you: * Your Name: * Your Dedication Message/Story: If you would like your email address displayed on your dedication please enter it here:
* Please choose a Background:		Plain White Background
Sunflowers	Whale	Together again one day	Ray of Light
Angels	Footprints in the Sand	Beautiful Butterfly	Dove
Winter Landscape	Furry Friend	Sailing	I picked a flower for you today
Please choose a song: (optional) (Click on the song title to hear a preview)
Bridge over Troubled Water - Simon & Garfunkel Wonderful World - Lois Armstrong Imagine- John Lennon Tears In Heaven - Eric Clapton China Roses - Enya Evening Falls - Enya Lothorien - Enya The Sun In The Stream - Enya Wind Beneath My Wings - Bette Midler Mull of Kintyre - Paul McCartney Bright Eyes		Hero - Maria Carey Ave Maria Dont Dream Its Over - Crowed House Somewhere Out There You Are So Beautiful - Joe Cocker Cursum Perficio - Enya Fairytale - Enya Marble Halls - Enya Watermark - Enya The Rose - Bette Midler Amazing Grace
Special Requests: Any particular colours, graphics, a specific background not shown above, etc). We will try our best to accommodate your request.
If you have any pictures or additional items you would like on the dedication page, click here and send as attachments. Note: Limit total size of attachments to 2MB.
* Your Email Address: (This will NOT be published but is required so that we can confirm your request for this dedication)
Security Image: Type the text from this image into the box below. Use capital letters and numbers only