Create a memorial or tribute
in the Shrine of the Holy Innocents

You may complete this form online or download a printable form to mail.

Memorial/Tribute Information

*Select a memorial opportunity:
3"x5" Tile - 1 line ($200)
6"x5" Tile - 3 lines ($400)
Protector Register Only (See Below)

*Include a name in the Protector of the Sanctity of Life register
$ Gift

Protector name

Note: Up to 30 characters or spaces. Do not add spaces at the beginning. Text will be left-justified.

Total: $