2025 Life and Legacy Celebration Registration

Life and Legacy Celebration Registration

Please complete to register for the 2025 Life and Legacy Celebrations.
Will you be attending one of the Life and Legacy Celebrations? *

YES, I will be attending (in person or virtual ceremony)NO, I will not be attending

Which Life and Legacy Celebration will you be attending?*

October 26, 2025 - New Jersey: Stockton University - Atlantic City Campus. Please RSVP by October 10, 2025.November 9, 2025 - Philadelphia: Loews Philadelphia Hotel. Please RSVP by October 24, 2025November 16, 2025 - Northeast Pennsylvania: Radisson Lackawanna. Please RSVP by October 31, 2025Virtual: December 7, 2025 Please RSVP by November 21, 2025
How many will attend the celebration?*
Families who are unable to attend this year have two options. Please select one:*

Invite me next year.Send me the Gift of Life Donor Medal in honor of my loved one.
Name of your loved one.*

First NameLast Name
Year your loved one became a donor.*
ex: 2024
Name of your loved one as you would like it to appear in the tribute. *
Please share up to five words describing your loved one. This will be shared during the tribute. Example: Father, Grandfather, Eagles Fan, Fisherman, Funny

Word 1
Word 2
Word 3
Word 4
Word 5
Would you like to submit a photograph for the tribute of donors?*

Yes, I will upload a photograph below.No, I will not be uploading a photograph. Please just list my loved one's name.I need assistance in submitting a photograph, please email me.
Photograph for Tribute: Only one photo please. *

Browse Files
By uploading a photograph, I authorize Gift of Life Donor Program, its affiliated organizations, and community partners to use the photograph for the Life and Legacy celebration as well as for public awareness and education purposes related to organ and tissue donation. I understand that because other individuals will have access to view the Life and Legacy program, the photo may be redistributed without our knowledge. Cancelof
Your Name*

First NameLast Name
Email*

Confirmation EmailEnter again to confirm
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Should be Empty: