Memory Wall

Please complete the form below, to celebrate the life of a loved one. Choose your heart, load a photo too if you wish and write a message. We will then publish your memory and email you when it is live on the site to visit.

Thank you for helping The Children’s Grief Charity, to support even more grieving children, young people and their families.

Your details

First name Last name Email Mobile

Details of the departed

Relationship First name Last name Date of birth Date of death

Photo

Accepted file types: jpg, gif, png. Max. file size 5MB.

Heart colour

Choose a heart colour to post on the Memory Wall

Your name

If you so wish, please type your name/s here, to identify who chose this heart. If you leave it blank, nothing will appear

Name Message

0 of 150 max characters

Donation

£10.00

Code

If you have been given a code, please enter it here, and you will not be charged

Would you like to make an additional donation? YesNo

Please add the amount below

Are you a UK taxpayer?
Turn your gift 1.25X times at no extra cost for you.

I want to Gift Aid my donation and any donations I make in the future or have made in the past 4 years, to The Children's Grief Charity. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all of my donations in that tax year it is my responsibility to pay any difference. The Children's Grief Charity will claim 25p on every £1 donated. Gift Aid cannot be reclaimed if you are paying in other people's donations or donating on behalf of a company.

Yes, I would like The Children's Grief Charity to claim Gift Aid on my donation.

Address line 1 Address line 2 City Postcode

Total: £10.00

Security and privacy

We use secure transmission and will never sell your information to a 3rd party.

We can only continue to help bereaved children, young people and their families through the passion and generosity of our valued supporters. We'd love to stay in touch and keep you updated with information on our projects and services, including events and fundraising activities. Rest assured we will never share your data with third parties. You can change the way you hear from us at any time by emailing us at [email protected] or calling us on 020 8371 8455. You can read more about how we use your information by visiting our privacy policy.