Tribute of Light Ceremony Volunteer Form
Contact Name
Street Address
City
State
Postal Code
Daytime Phone
Evening Phone
Email Address
Number of People in Your Party
Adults
Children
Volunteer Names
Please list the names of all volunteers below.
Have You Purchased a Candle from ACS?
Yes
No
If yes, would you like to carry this candle in the ceremony?
Yes
No
If yes, what is/are the name(s) of the individual(s) for whom you purchased a candle?
Please note: If you do not specify a name prior to November 12th,
we cannot guarantee that you will carry the candle that you purchased
in the ceremony. You may be given an alternate name to carry.