Hero Highlight Tribute

Thank you for sharing your loved one's story as part of our Hero Highlight series. Please complete this form with the information you would like us to include in the online dedication.

Our team will be in touch to discuss any additional details.

Hero Highlight Submission

Your Name

Your Email

Your Phone Number

If we need to contact you for more information about your tribute, what is the best way to reach you?

Call

Text

Your Loved One's Name

Your Relationship to Donor

Your Loved One's Date of Birth

Please provide 3-5 words to describe your loved one

Share 3-4 sentences about a favorite memory with your loved one

Tell us about your loved one in a little more detail

Share 2-3 sentences about what your loved one liked to do in their free time

Would you also like to add your tribute to our Wall of Hope at the LifeShare office?

Yes

A memorial wall displays glass plaques with donor photos.

Please upload 2-3 photos for us to choose from (We will choose the one that fits best in our graphic)

Select Photo

When you click the SEND button, you will be taken to a new page to review and sign the LifeShare Carolinas Authorization to Use and Disclose Health Information for Communications and Marketing form. By signing this form, you are giving LifeShare permission to share details of your loved one's organ, eye, or tissue donation.