Who is this obituary for?
Class Member Teacher/Staff

Name of person who died:

What is your relationship to the person who died?
Spouse Child Parent Other relative Friend

Date of death:

Place of death:

Do you have a newspaper obituary?
Yes No

If there was a newspaper obituary or prayer card, could you enter that below?

Your Information:

Name:

Street:


City:

State/Province:

Zip/Postal Code:

Country:

E-Mail Address:

Anything else you want to share with the class of 1978: