Light Up A Life

Printable Donation and Name Submission Form for Mailing

Each year Bristol Hospice Foundation of CA hosts several local remembrance celebrations throughout California during the month of December and invites the community to sponsor a light on our Tree of Life memory of a loved one or to honor someone living. All proceeds from light donations help provide hospice services in your local community.

The celebration includes a personal reflection by a family whose used hospice services for a loved one, the reading of the memorial names by hospice team members & volunteers, inspirational music, and the lighting of our Tree of Life. The Tree of Life is adorned with ornaments representing a light in memory of loved ones and friends. Candle lightings take place at all outdoor events.

The Celebration is free to attend and open to everyone, not just those touched by hospice care. For a suggested $10 donation an ornament with your loved ones name will be placed on our Tree of Live and if received prior to the event date their name will be read during the Celebration. A donation form can be printed by opening the attachment below.

The Foundation would like thank our sponsors, donors, attendees, staff and volunteers who support our Light Up A Life events. Bristol Hospice provides bereavement services in all of our communities at no cost. If you are in need of assistance please contact your local office for more information.

Light Up a Life On-line Name Submission and Donation Form

Please use this form to submit your loved ones names to be read at the Bristol Hospice Foundation of CA 2024 Light Up A Life Celebration of your choice. If you need to submit more names than this form allows please contact the Foundation office at 661-716-8000.

Donor Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

I Dedicate Light(s) in Memory of:

In Memory of - Name *

Was the person listed above a Veteran? *

In Memory of - Name

Was the person listed above a Veteran?

In Memory of - Name

Was the person listed above a Veteran?

In Memory of - Name

Was the person listed above a Veteran?

In Memory of - Name

Was the person listed above a Veteran?

I Dedicate Light(s) in Honor of Someone Living:

In Honor of - Name

Is the person listed above a Veteran?

In Honor of - Name

Is the person listed above a Veteran?

Please choose which Celebration you would like your loved ones names read: *

After submitting this form you will be directed to our secure donation site.

Email