Form – Balloon Celebration SOFT's Annual Balloon Celebration in memory of SOFT Angel Children The annual balloon celebration will be held during the Saturday picnic. You need not be in attendance to have a balloon released for a child who has passed. Please provide the information requested below and we will ensure that a balloon is released for your child. SOFT mails a tag to each parent for whom a balloon is released so it is very important that the name and mailing address of the parent of the child be provided. Your FIRST and LAST Name:Please enter your COMPLETE mailing address here (used only if we must contact you). Don't forget the City & Zip Code!Phone (used only if we must contact you about this)Email (used only if we must contact you about this) Your relationship to the child (parent, uncle, grandparent, friend, etc):Do you plan to attend the conference?YesNoThe Child's DetailsChild's Name: FIRST, Middle if desired, LAST*Male or Female?*Date of Birth:*Date of Death:*Child's Diagnosis*Parent Name(s) if not you (so we can notify them of the balloon request). Be sure to include the LAST name.Child's Parent's address (if not your address):IF YOU ARE NOT THE PARENT(s) AND THE PARENT(s) DO NOT RESIDE IN THE USA, PLEASE PROVIDE THEIR EMAIL ADDRESS IN THE "COMMENTS" FIELD BELOW. THANKS!Enter any comments here:Upload a photo of the SOFT Child, if you wish.By submitting the attached images as well as child's name and diagnosis, I am granting SOFT and its representatives the right to use these images for the purposes of the balloon release and any video related to that event. I understand that the video and images will be used on the SOFT website. If I do not want to grant SOFT this right, I will not submit the name, diagnosis, or photographic image to SOFT.Don't forget to tap the SUBMIT button!