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.

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.
Example: "Brother, Father, Heart of Gold"
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

Shatterproof: Stronger Than Addiction

Fixing the broken treatment system starts now

Shatterproof is transforming addiction treatment in America. Stay tuned for updates and information

Overlay Form