National Conference Registration - Compassionate Friends

Attendee 1
Attendee 1 Registration*
Attendee 1*
First Last
Select all that apply.
- Bereaved Parent
- Bereaved Sibling - ages 9-17
- Bereaved Sibling - ages 18+
- Bereaved Grandparent
- Relative
- Friend
- Workshop Presenter
- Professional
- Regional Coordinator
- Chapter Leader
- Newsletter Editor
- Steering Committee Member
Sibling Shirt Size for Attendee 1
First time at a TCF National Conference?*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*

Attendee 1
Child's/Grandchild's/Sibling's Name 1
First Name Last Name
Relationship to Attendee
Relationship?
Child's/Grandchild's/Sibling's Name to be listed on name badge
Date of Birth
MM slash DD slash YYYY
Date of Death
MM slash DD slash YYYY
Cause of Death
Add additional Child's/Grandchild's/Sibling's Name
Child's/Grandchild's/Sibling's Name 2
First Last
Child's/Grandchild's/Sibling's Name to be listed on name badge
Relationship to Attendee
Relationship?
Date of Birth
MM slash DD slash YYYY
Date of Death
MM slash DD slash YYYY
Cause of Death
Add additional Child's/Grandchild's/Sibling's Name
Child's/Grandchild's/Sibling's Name 3
First Last
Child's/Grandchild's/Sibling's Name to be listed on name badge
Relationship to Attendee
Relationship?
Date of Birth
MM slash DD slash YYYY
Date of Death
MM slash DD slash YYYY
Cause of Death
Add additional Child's/Grandchild's/Sibling's Name
Child's/Grandchild's/Sibling's Name 4
First Last
Child's/Grandchild's/Sibling's Name to be listed on name badge
Relationship to Attendee
Relationship?
Date of Birth
MM slash DD slash YYYY
Date of Death
MM slash DD slash YYYY
Cause of Death
Add additional Child's/Grandchild's/Sibling's Name
Child's/Grandchild's/Sibling's Name 5
First Last
Child's/Grandchild's/Sibling's Name to be listed on name badge
Relationship to Attendee
Relationship?
Date of Birth
MM slash DD slash YYYY
Date of Death
MM slash DD slash YYYY
Cause of Death

Attendee 1 Workshop Choices

To help us plan the size of the workshop rooms, please list seven preferred workshop numbers for each person attending. Click here to view the list of workshop choices.
Workshop Choice 1
Workshop Choice 2
Workshop Choice 3
Workshop Choice 4
Workshop Choice 5
Workshop Choice 6
Workshop Choice 7

Attendee 1
Add Friday Buffet Lunch ($50) for Attendee 1?
Add Saturday Dinner ($65) for Attendee 1?
Dinner Selection for Attendee 1
Add Friday Night Sibling Event, "Come and Escape!" ($35) for Attendee 1?
This sibling event is for the 9 to 17 year old crowd who are willing to work as a team and ESCAPE! The Amazing Escape Room in Philadelphia will be a perfect place to work with other siblings as a team and try ESCAPE! This event will be Friday, July 19, 2019. We will meet in the lobby at 5:30 pm. We will have dinner at the Amazing Escape Room and return to the hotel lobby at 7:15 pm. The cost of the event is $35.00 and there will only be a limited number of extra tickets that you can purchase at on-site registration. Register in advance so you can secure your spot. Let’s just see how much of an escape artist you really are!
Add Friday Night Sibling Event, "Laughing Through It All" ($45) for Attendee 1?
This event is now open to ALL attendees 18+. This event is for the 18 and older crowd who understand Laughing Through It All! Our very own Jordon Ferber, who is a bereaved sibling will be one of 3 comedians during this comedy show. All 3 of the comedians are bereaved siblings and are guaranteed to make you laugh for hours. There will be light hors d'oeuvres, and a cash bar for the evening. The cost of this event is $45.00. Due to the popularity of this comedy event, there will be limited tickets available during on-site registration. This event will be Friday, July 19, 2019 at 8:00 pm. Doors open at 7:30 so plan to be ready to Laugh Through It All!
Add Walk to Remember Registration ($25) for Attendee 1?
Walk to Remember Shirt Size
Add Thursday Leadership Training Program ($40) for Attendee 1?
Leadership Role?
- Chapter
- Regional Coordinator
- Facebook Moderator
- Online Support Community Moderator
Chapter Name?
Chapter Leadership Role?
Position?
Do you have any dietary restrictions?
Please explain.
Liability Waiver
In consideration of being accepted as a participant in the TCF Inc., Walk to Remember, I hereby affirm, acknowledge, and agree to the following: (1) That I assume all responsibility for any and all damages to, or theft of, my personal property or any bodily injury (including death) that may occur to me, and further, I assume responsibility for property damage and bodily injury (including death) that I may cause to others, in each case arising or resulting from, incidental to, or as a consequence of, my participation in the TCF, Inc., Walk to Remember; (2) That I, for myself, my heirs, my executors and administrators, release and hold harmless from and waive all claims, damages, and rights of action, present or future, whether the same be known or unknown, anticipated or unanticipated, foreseen or unforeseen, arising or resulting from, incident to or as a consequence of, my participation in the TCF Inc., Walk to Remember, which I may now or hereafter have against The Compassionate Friends, Inc., any business or companies along the route and any and all sponsors and volunteers for said event, and the respective directors, employees, and agents of all of the foregoing; (3) That I grant the permission for use of my name and/or picture in any broadcast, photograph, video, or other account of The Compassionate Friends, Inc., Walk to Remember; and (4) That I am aware of the physical demands and hazards of participating in a two-mile walking event such as The Compassionate Friends, Inc., Walk to Remember.
I agree to the above liability waiver.*
- Yes, I agree
Add Additional Attendee?*

Attendee 2
Is Child's/Grandchild's/Sibling's Name 1 the same as Attendee 1?
Child's/Grandchild's/Sibling's Name 1
First Name Last Name
Child's/Grandchild's/Sibling's Name to be listed on name badge
Relationship to Attendee
Relationship?
Date of Birth
MM slash DD slash YYYY
Date of Death
MM slash DD slash YYYY
Cause of Death
Add additional Child's/Grandchild's/Sibling's Name
Is Child's/Grandchild's/Sibling's Name 2 the same as Attendee 1?
Child's/Grandchild's/Sibling's Name 2
First Name Last Name
Child's/Grandchild's/Sibling's Name to be listed on name badge
Relationship to Attendee
Relationship?
Date of Birth
MM slash DD slash YYYY
Date of Death
MM slash DD slash YYYY
Cause of Death
Add additional Child's/Grandchild's/Sibling's Name
Is Child's/Grandchild's/Sibling's Name 3 the same as Attendee 1?
Child's/Grandchild's/Sibling's Name 3
First Name Last Name
Child's/Grandchild's/Sibling's Name to be listed on name badge
Relationship to Attendee
Relationship?
Date of Birth
MM slash DD slash YYYY
Date of Death
MM slash DD slash YYYY
Cause of Death
Add additional Child's/Grandchild's/Sibling's Name
Is Child's/Grandchild's/Sibling's Name 4 the same as Attendee 1?
Child's/Grandchild's/Sibling's Name 4
First Name Last Name
Child's/Grandchild's/Sibling's Name to be listed on name badge
Relationship to Attendee
Relationship?
Date of Birth
MM slash DD slash YYYY
Date of Death
MM slash DD slash YYYY
Cause of Death
Add additional Child's/Grandchild's/Sibling's Name
Is Child's/Grandchild's/Sibling's Name 5 the same as Attendee 1?
Child's/Grandchild's/Sibling's Name 5
First Name Last Name
Child's/Grandchild's/Sibling's Name to be listed on name badge
Relationship to Attendee
Relationship?
Date of Birth
MM slash DD slash YYYY
Date of Death
MM slash DD slash YYYY
Cause of Death

Attendee 2 Workshop Choices

To help us plan the size of the workshop rooms, please list seven preferred workshop numbers for each person attending. Click here to view the list of workshop choices.
Workshop Choice 1
Workshop Choice 2
Workshop Choice 3
Workshop Choice 4
Workshop Choice 5
Workshop Choice 6
Workshop Choice 7

Add Friday Buffet Lunch ($50) for Attendee 2?
Add Saturday Dinner ($65) for Attendee 2?
Dinner Selection for Attendee 2
Add Friday Night Sibling Event, "Come and Escape!" ($35) for Attendee 2?
This sibling event is for the 9 to 17 year old crowd who are willing to work as a team and ESCAPE! The Amazing Escape Room in Philadelphia will be a perfect place to work with other siblings as a team and try ESCAPE! This event will be Friday, July 19, 2019. We will meet in the lobby at 5:30 pm. We will have dinner at the Amazing Escape Room and return to the hotel lobby at 7:15 pm. The cost of the event is $35.00 and there will only be a limited number of extra tickets that you can purchase at on-site registration. Register in advance so you can secure your spot. Let’s just see how much of an escape artist you really are!
Add Friday Night Sibling Event, "Laughing Through It All!" ($45) for Attendee 2?
This event is now open to ALL attendees 18+. This event is for the 18 and older crowd who understand Laughing Through It All! Our very own Jordon Ferber, who is a bereaved sibling will be one of 3 comedians during this comedy show. All 3 of the comedians are bereaved siblings and are guaranteed to make you laugh for hours. There will be light hors d'oeuvres, and a cash bar for the evening. The cost of this event is $45.00. Due to the popularity of this comedy event, there will be limited tickets available during on-site registration. This event will be Friday, July 19, 2019 at 8:00 pm. Doors open at 7:30 so plan to be ready to Laugh Through It All!
Add Walk to Remember Registration ($25) for Attendee 2?
Walk to Remember Shirt Size
Add Thursday Leadership Training Program ($40) for Attendee 2?
Leadership Role?
- Chapter
- Regional Coordinator
- Facebook Moderator
- Online Support Community Moderator
Chapter Name?
Chapter Leadership Role?
Position?
Do you have any dietary restrictions?
Please explain.
Liability Waiver
In consideration of being accepted as a participant in the TCF Inc., Walk to Remember, I hereby affirm, acknowledge, and agree to the following: (1) That I assume all responsibility for any and all damages to, or theft of, my personal property or any bodily injury (including death) that may occur to me, and further, I assume responsibility for property damage and bodily injury (including death) that I may cause to others, in each case arising or resulting from, incidental to, or as a consequence of, my participation in the TCF, Inc., Walk to Remember; (2) That I, for myself, my heirs, my executors and administrators, release and hold harmless from and waive all claims, damages, and rights of action, present or future, whether the same be known or unknown, anticipated or unanticipated, foreseen or unforeseen, arising or resulting from, incident to or as a consequence of, my participation in the TCF Inc., Walk to Remember, which I may now or hereafter have against The Compassionate Friends, Inc., any business or companies along the route and any and all sponsors and volunteers for said event, and the respective directors, employees, and agents of all of the foregoing; (3) That I grant the permission for use of my name and/or picture in any broadcast, photograph, video, or other account of The Compassionate Friends, Inc., Walk to Remember; and (4) That I am aware of the physical demands and hazards of participating in a two-mile walking event such as The Compassionate Friends, Inc., Walk to Remember.
I agree to the above liability waiver.*
- Yes, I agree
Add Additional Attendee?*

Attendee 3
Is Child's/Grandchild's/Sibling's Name 1 the same as Attendee 1?
Child's/Grandchild's/Sibling's Name 1
First Name Last Name
Child's/Grandchild's/Sibling's Name to be listed on name badge
Relationship to Attendee
Relationship?
Date of Birth
MM slash DD slash YYYY
Date of Death
MM slash DD slash YYYY
Cause of Death
Add additional Child's/Grandchild's/Sibling's Name
Is Child's/Grandchild's/Sibling's Name 2 the same as Attendee 1?
Child's/Grandchild's/Sibling's Name 2
First Name Last Name
Child's/Grandchild's/Sibling's Name to be listed on name badge
Relationship to Attendee
Relationship?
Date of Birth
MM slash DD slash YYYY
Date of Death
MM slash DD slash YYYY
Cause of Death
Add additional Child's/Grandchild's/Sibling's Name
Is Child's/Grandchild's/Sibling's Name 3 the same as Attendee 1?
Child's/Grandchild's/Sibling's Name 3
First Name Last Name
Child's/Grandchild's/Sibling's Name to be listed on name badge
Relationship to Attendee
Relationship?
Date of Birth
MM slash DD slash YYYY
Date of Death
MM slash DD slash YYYY
Cause of Death
Add additional Child's/Grandchild's/Sibling's Name
Is Child's/Grandchild's/Sibling's Name 4 the same as Attendee 1?
Child's/Grandchild's/Sibling's Name 4
First Name Last Name
Child's/Grandchild's/Sibling's Name to be listed on name badge
Relationship to Attendee
Relationship?
Date of Birth
MM slash DD slash YYYY
Date of Death
MM slash DD slash YYYY
Cause of Death

Attendee 3 Workshop Choices

To help us plan the size of the workshop rooms, please list seven preferred workshop numbers for each person attending. Click here to view the list of workshop choices.
Workshop Choice 1
Workshop Choice 2
Workshop Choice 3
Workshop Choice 4
Workshop Choice 5
Workshop Choice 6
Workshop Choice 7

Add Friday Buffet Lunch ($50) for Attendee 3?
Add Saturday Dinner ($65) for Attendee 3?
Dinner Selection for Attendee 3
Add Friday Night Sibling Event, "Come and Escape!" ($35) for Attendee 3?
This sibling event is for the 9 to 17 year old crowd who are willing to work as a team and ESCAPE! The Amazing Escape Room in Philadelphia will be a perfect place to work with other siblings as a team and try ESCAPE! This event will be Friday, July 19, 2019. We will meet in the lobby at 5:30 pm. We will have dinner at the Amazing Escape Room and return to the hotel lobby at 7:15 pm. The cost of the event is $35.00 and there will only be a limited number of extra tickets that you can purchase at on-site registration. Register in advance so you can secure your spot. Let’s just see how much of an escape artist you really are!
Add Friday Night Sibling Event, "Laughing Through It All" ($45) for Attendee 3?
This event is now open to ALL attendees 18+. This event is for the 18 and older crowd who understand Laughing Through It All! Our very own Jordon Ferber, who is a bereaved sibling will be one of 3 comedians during this comedy show. All 3 of the comedians are bereaved siblings and are guaranteed to make you laugh for hours. There will be light hors d'oeuvres, and a cash bar for the evening. The cost of this event is $45.00. Due to the popularity of this comedy event, there will be limited tickets available during on-site registration. This event will be Friday, July 19, 2019 at 8:00 pm. Doors open at 7:30 so plan to be ready to Laugh Through It All!
Add Walk to Remember Registration ($25) for Attendee 3?
Walk to Remember Shirt Size
Add Thursday Leadership Training Program ($40) for Attendee 3?
Leadership Role?
- Chapter
- Regional Coordinator
- Facebook Moderator
- Online Support Community Moderator
Chapter Name?
Chapter Leadership Role?
Position?
Do you have any dietary restrictions?
Please explain.
Liability Waiver
In consideration of being accepted as a participant in the TCF Inc., Walk to Remember, I hereby affirm, acknowledge, and agree to the following: (1) That I assume all responsibility for any and all damages to, or theft of, my personal property or any bodily injury (including death) that may occur to me, and further, I assume responsibility for property damage and bodily injury (including death) that I may cause to others, in each case arising or resulting from, incidental to, or as a consequence of, my participation in the TCF, Inc., Walk to Remember; (2) That I, for myself, my heirs, my executors and administrators, release and hold harmless from and waive all claims, damages, and rights of action, present or future, whether the same be known or unknown, anticipated or unanticipated, foreseen or unforeseen, arising or resulting from, incident to or as a consequence of, my participation in the TCF Inc., Walk to Remember, which I may now or hereafter have against The Compassionate Friends, Inc., any business or companies along the route and any and all sponsors and volunteers for said event, and the respective directors, employees, and agents of all of the foregoing; (3) That I grant the permission for use of my name and/or picture in any broadcast, photograph, video, or other account of The Compassionate Friends, Inc., Walk to Remember; and (4) That I am aware of the physical demands and hazards of participating in a two-mile walking event such as The Compassionate Friends, Inc., Walk to Remember.
I agree to the above liability waiver.*
- Yes, I agree
Add Additional Attendee?*

Attendee 4
Is Child's/Grandchild's/Sibling's Name 1 the same as Attendee 1?
Child's/Grandchild's/Sibling's Name 1
First Name Last Name
Child's/Grandchild's/Sibling's Name to be listed on name badge
Relationship to Attendee
Relationship?
Date of Birth
MM slash DD slash YYYY
Date of Death
MM slash DD slash YYYY
Cause of Death
Add additional Child's/Grandchild's/Sibling's Name
Is Child's/Grandchild's/Sibling's Name 2 the same as Attendee 1?
Child's/Grandchild's/Sibling's Name 2
First Name Last Name
Child's/Grandchild's/Sibling's Name to be listed on name badge
Relationship to Attendee
Relationship?
Date of Birth
MM slash DD slash YYYY
Date of Death
MM slash DD slash YYYY
Cause of Death

Attendee 4 Workshop Choices

To help us plan the size of the workshop rooms, please list seven preferred workshop numbers for each person attending. Click here to view the list of workshop choices.
Workshop Choice 1
Workshop Choice 2
Workshop Choice 3
Workshop Choice 4
Workshop Choice 5
Workshop Choice 6
Workshop Choice 7

Attendee 4
Add Friday Buffet Lunch ($50) for Attendee 4?
Add Saturday Dinner ($65) for Attendee 4?
Dinner Selection for Attendee 4
Add Friday Night Sibling Event, "Come and Escape!" ($35) for Attendee 4?
This sibling event is for the 9 to 17 year old crowd who are willing to work as a team and ESCAPE! The Amazing Escape Room in Philadelphia will be a perfect place to work with other siblings as a team and try ESCAPE! This event will be Friday, July 19, 2019. We will meet in the lobby at 5:30 pm. We will have dinner at the Amazing Escape Room and return to the hotel lobby at 7:15 pm. The cost of the event is $35.00 and there will only be a limited number of extra tickets that you can purchase at on-site registration. Register in advance so you can secure your spot. Let’s just see how much of an escape artist you really are!
Add Friday Night Sibling Event, "Laughing Through It All!" ($45) for Attendee 4?
This event is now open to ALL attendees 18+. This sibling event is for the 18 and older crowd who understand Laughing Through It All! Our very own Jordon Ferber, who is a bereaved sibling will be one of 3 comedians during this comedy show. All 3 of the comedians are bereaved siblings and are guaranteed to make you laugh for hours. There will be light hors d'oeuvres, and a cash bar for the evening. The cost of this event is $45.00. Due to the popularity of this comedy event, there will be limited tickets available during on-site registration. This event will be Friday, July 19, 2019 at 8:00 pm. Doors open at 7:30 so plan to be ready to Laugh Through It All!
Add Walk to Remember Registration ($25) for Attendee 4?
Walk to Remember Shirt Size
Add Thursday Leadership Training Program ($40) for Attendee 4?
Leadership Role?
- Chapter
- Regional Coordinator
- Facebook Moderator
- Online Support Community Moderator
Chapter Name?
Chapter Leadership Role?
Position?
Do you have any dietary restrictions?
Please explain.
Liability Waiver
In consideration of being accepted as a participant in the TCF Inc., Walk to Remember, I hereby affirm, acknowledge, and agree to the following: (1) That I assume all responsibility for any and all damages to, or theft of, my personal property or any bodily injury (including death) that may occur to me, and further, I assume responsibility for property damage and bodily injury (including death) that I may cause to others, in each case arising or resulting from, incidental to, or as a consequence of, my participation in the TCF, Inc., Walk to Remember; (2) That I, for myself, my heirs, my executors and administrators, release and hold harmless from and waive all claims, damages, and rights of action, present or future, whether the same be known or unknown, anticipated or unanticipated, foreseen or unforeseen, arising or resulting from, incident to or as a consequence of, my participation in the TCF Inc., Walk to Remember, which I may now or hereafter have against The Compassionate Friends, Inc., any business or companies along the route and any and all sponsors and volunteers for said event, and the respective directors, employees, and agents of all of the foregoing; (3) That I grant the permission for use of my name and/or picture in any broadcast, photograph, video, or other account of The Compassionate Friends, Inc., Walk to Remember; and (4) That I am aware of the physical demands and hazards of participating in a two-mile walking event such as The Compassionate Friends, Inc., Walk to Remember.
I agree to the above liability waiver.*
- Yes, I agree

Conference Memento

Keep your child’s, grandchild’s or sibling’s memory alive with this two-sided personalized photo memento - one side features the 2019 TCF National Conference logo, and the other side is a photo of the one you love with their name along the bottom. These mementos are created of porcelain, measuring 3" in diameter and include a ribbon for easy hanging. This is a wonderful remembrance of your TCF national conference experience to take home and cherish. Mementos are also available from some of our past national conference logos as well. The cost of this beautiful keepsake is $15.
Conference Memento
Quantity of Mementos*
Photo(s) for Memento(s)
Drop files here or

Max. file size: 64 MB.
Name(s) for Memento(s)
If using multiple photos, please mark file name for each name.

Sponsorships
Sponsorship Options
- Centerpiece Sponsor $35
- Sharing Session Sponsor $50
- Workshop Sponsor $100
- Conference Scholarship $250
- Enter another donation amount
Conference Scholarship
Price:
Sponsor’s name featured on a sign at the Registration Area with your child’s/grandchild’s/sibling’s photo.
Quantity*
Please enter a number greater than or equal to 0.
Workshop Sponsor
Price:
Sponsor’s name displayed on a sign at the Workshop of your choice with your child’s/grandchild’s/sibling’s photo. Click here to see a list of available Workshops to sponsor.
Quantity*
Please enter a number greater than or equal to 0.
Workshop Choice 1
Workshop Choice 2
Workshop Choice 3
Sharing Sign Sponsor
Price:
Sponsor’s name displayed on a sign at the Sharing Session of your choice with your child’s/grandchild’s/sibling’s photo.
Quantity*
Centerpiece Sponsor
Price:
Sponsor’s name displayed on a card by the centerpiece with your child’s/grandchild’s/sibling’s photo.
Quantity*
Enter other donation amount:*
Upload child's/grandchild's/sibling's photo for sponsor sign
Accepted file types: jpg, png, tif, pdf, Max. file size: 64 MB.
Sponsored by
In Memory of / In Honor of
Name(s)
Walk to Remember Sign
Personalized Walk to Remember Sign
Price:
Sponsor’s name displayed on a sign that will be displayed on the Walk to Remember route with your child’s/grandchild’s/sibling’s photo.
Quantity
Photo(s) for Walk Sign
Max. file size: 64 MB.
Sponsored by
In Memory of / In Honor of
Name(s)

Total
$0.00
Coupon
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Billing Address
Street Address City State / Province / Region ZIP / Postal Code Country
Billing Phone Number
Name
This field is for validation purposes and should be left unchanged.

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2019 National Conference Registration

Step 1 of 19

Attendee 1

Attendee 1

Attendee 1 Workshop Choices

Attendee 1

Liability Waiver

Attendee 2

Attendee 2

Attendee 2 Workshop Choices

Liability Waiver

Attendee 3

Attendee 3

Attendee 3 Workshop Choices

Liability Waiver

Attendee 4

Attendee 4

Attendee 4 Workshop Choices

Attendee 4

Liability Waiver

Conference Memento

Sponsorships

Walk to Remember Sign

Find a Local Chapter

Find Support

About

How You Can Help

Menu

Social

© 2021 The Compassionate Friends. Privacy Policy
This site was donated by the Open to Hope Foundation in loving memory of Scott Preston Horsley.

Close [x]

2019 National Conference Registration

Step 1 of 19

Attendee 1

Attendee 1

Attendee 1 Workshop Choices

Attendee 1

Liability Waiver

Attendee 2

Attendee 2

Attendee 2 Workshop Choices

Liability Waiver

Attendee 3

Attendee 3

Attendee 3 Workshop Choices

Liability Waiver

Attendee 4

Attendee 4

Attendee 4 Workshop Choices

Attendee 4

Liability Waiver

Conference Memento

Sponsorships

Walk to Remember Sign

Find a Local Chapter

Sign Up for the Compassionate Friends Newsletter

Find Support

About

How You Can Help

Menu

Social

© 2021 The Compassionate Friends. Privacy Policy This site was donated by the Open to Hope Foundation in loving memory of Scott Preston Horsley.

© 2021 The Compassionate Friends. Privacy Policy
This site was donated by the Open to Hope Foundation in loving memory of Scott Preston Horsley.