Required

Baby's NameYour baby's name or nickname, if any. (If left blank, "Our Baby" will display)

Date of lossMonth and Day, Year (Example: May 10, 2019)

DiagnosisThe fetal or maternal diagnosis that led to the decision to end your wanted pregnancy

MemorialLeave a few words or a poem to memorialize your baby

SignatureClose 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.

Photo by Boris Smokrovic on Unsplash