Aids Quilt Rhode Island

Suggest A Name

Please fill in all fields, and click the submit button.
Clicking submit will send all of your information to Anna's Workshop.

Your Contact Information

Your Name:
Phone Number:
Email Address:

Suggested Individual's Information

Name:

Favorite Color(s):

Important People in His/Her Life:

Favorite Places:

Accomplishments:

Interests/Hobbies:

Schools:

Favorite Things and Foods:

Pets:

Date of Birth:

Date of Death:

Racial/Ethnic Heritage: (if this was important to them)

Other Information:

Would you like to include photos?
Yes No

If you choose to use pictures - we will contact you and arrange to have the pictures sent to us. If they are not files on the computer, we can arrange to have hard copies sent to us. They will be transferred onto the fabric and be returned to you unharmed.

Would you like to work with our young people to make this panel?
Yes No

Please be sure to only click once on the "submit" button as "double clicking" will result in multiple submissions of your information. Thanks!