Add Your Loved One

Full Name
Date of Birth Month:   Day:   Year:
Date of Passing Month:   Day:   Year:
Submitted By This info will not be displayed.
Relationship to Deceased This info will not be displayed.
Email Address This info will not be displayed. It is used to communicate with you when new videos are created. Emails will be from joan.hessenauer@gmail.com.
Facebook Name This info will not be displayed. You will receive a message from Joan Hessenauer when your loved one has been added. You may need to check Message Requests to see it.
Photo

Please upload an original SQUARE photo with no added graphics or text.

Before clicking this button, please make sure that you have completed all fields and that the picture you uploaded is SQUARE.

By clicking "Add Loved One" you agree that this is your loved one and you want to display him/her on this site and in memorial videos that are made with Jimmy's song as the background.

Questions? Email Joan.

If you are having trouble getting the form to submit, you may send this info to me via email or Facebook message.