Memorial

Memorial

Please use the form below to tell your story, and we will post it to our site within 1-2 business days. Be sure to include a valid email address in the event that we need to contact you for additional details on your submission.

Thank you for sharing your story.

The fields below serve as a suggested guide to help you in creating your My Last Photo memorial page. Fill out as much or as little as you would like.

Plain text

  • No HTML tags allowed.
  • Lines and paragraphs break automatically.
  • Web page addresses and email addresses turn into links automatically.
A brief message to introduce your lost loved one. Recommended length: 115 characters.
Example: "Brother, Father, Heart of Gold"
Please submit the largest image possible as it may be displayed as large as 720x1020 pixels.
One file only.
256 MB limit.
Allowed types: png gif jpg jpeg.
Optional link to a video on YouTube or Vimeo.

Birth Date

Date of Death

Plain text

  • No HTML tags allowed.
  • Lines and paragraphs break automatically.
  • Web page addresses and email addresses turn into links automatically.
When you create a My Last Photo page, you can also opt to have a fundraiser added to it. Adding a fundraiser to your memorial honors your loved one while helping build momentum in the movement to end the stigma of substance use disorder. By selecting "Yes", a Shatterproof representative will create your donation form for you and add a link to your Memorial once it is live.

* Required Fields

* By submitting your stories and/or images you agree to allow Shatterproof to use the contents on its website, social media, and other materials. By providing Shatterproof with this non-exclusive, worldwide and perpetual right, you do not cede or assign your copyright in the materials you submit. Privacy Policy. If you have any questions or concerns, email us at info@shatterproof.org

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Fixing the broken treatment system starts now

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