RSVP to the Service

Thanks for taking the time to RSVP to University of Virginia Children's Hospital Memorial Service, to be held on May 3, 2014 at 2:00 PM in McLeod Hall, University of Virginia School of Nursing.

The questions in italics require answers. If a question doesn't apply, just type "n/a" or the number "0". Make sure you click "Submit" at the bottom of the form. There is no need to mail the business reply card if you fill out this RSVP form.

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Please provide child's FULL name (first, middle and last)
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Please include yourself.
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Add "n/a" if not applicable.
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Add "n/a" if not applicable.
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