Memorial Butterfly Garden Form


What is the Memorial Butterfly Garden?

A place for families to remember those children they’ve lost – the butterflies that have flown. Visit the Memorial Butterfly Garden page to read memorials and use the form below to submit your own memorial.

Leave a memorial for your baby 

Strong Testimonials form submission spinner.


Your baby's name or nickname, if any. (If left blank, "Our Baby" will display)
Month and Day, Year (Example: May 10, 2019)
The fetal or maternal diagnosis that led to the decision to end your wanted pregnancy
Leave a few words or a poem to memorialize your baby
Close your memorial with a sign-off (optional)

Note: We manually review each submission to keep our Memorial Butterfly Garden free of spam or inappropriate content. Please be patient while our volunteer editors review your submission.