User account

Account information

Username: *

Your preferred username; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Your Contact Information

First Name: *

Middle Name:

Last Name: *

Address: *

City: *

State: *

Zip: *

Country: *

Your Child's Display Information

The following information will be displayed on your memorial page.

Display Name: *

Date of Birth: *

Date of Death: *

Diagnosis: *

Biography

Please provide a short biography to be displayed on your memorial page.

Biography: *

Terms of Release:

I agree to the terms of release

Upload a Picture

Please provide a photograph. CBTF recommends you upload a vertically oriented photo whose width-to-height ratio is around 3:4. (E.g., 300 pixels wide and 400 pixels tall.) If the photo is not these dimensions, the Memorial Quilt page will view well, but the thumbnail photo on the main page may be cropped. We offer you the option.

Administrative Approval: We have created this step to protect your child’s Memorial Quilt page from hackers and spam. Prior to your child’s page being posted on www.cbtf.org it will be reviewed by CBTF staff for administrative approval. CBTF will not edit language or content, but rather will verify the submission was created by a human rather than an automated spammer. We apologize for any inconvenience this may create, but we want to protect you and the validity of this program.

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