2017 Butterfly Release

Sholom Johnson Hospice invites you and your family to our 9th Annual Butterfly Release

Celebrate life, commemorate a special occasion, or remember a loved one by releasing a Monarch butterfly from the beautiful courtyard at the Ackerberg Family Sholom West Campus.
All proceeds benefit the volunteer services of Sholom Johnson Hospice.

The butterfly is a symbol of life - of birth, transition, and renewal. It also symbolizes hope and healing for clients of Sholom Johnson Hospice, which provides compassionate end-of-life care to persons of all faiths and backgrounds in the Twin Cities community.

Join us for a brief remembrance program before the butterflies take flight. Refreshments will follow.

Children and grandchildren welcome!

Sunday, August 6, 2017

1:30 p.m.

Ackerberg Family Sholom West Campus

3620 Phillips Parkway

St. Louis Park, MN 55426

Sholom Johnson Hospice is fully Medicare-licensed and provides hospice services to patients wherever they live – with specialized services for Jewish patients and their families. Hospice is a philosophy of care that focuses on patient comfort and quality of life.

For hospice information and referrals, please call (651) 328-2091.

There is no charge for butterflies. Donations graciously accepted.

Registration for live Monarch butterflies

Please indicate how many butterflies you would like to release - one butterfly per individual being honored or memorialized. If you cannot attend the event, one of our hospice volunteers will release your butterfly(ies) on your behalf.

Amount:

$

*

Additional Information

Please provide the name(s) of those being honored or memorialized with a butterfly. Each name will be listed in the event program along with your name as it appears in the billing information section below (i.e. John Doe, remembered by Jane Doe)

Comments:

Name of 1st Individual Honored/Memorialized:

Name of 2nd Individual Honored/Memorialized:

Name of 3rd Individual Honored/Memorialized:

Name of 4th Individual Honored/Memorialized:

Butterfly 1 to be Released::

In Memory of
In Honor of
Speedy Recovery

Butterfly 2 to be Released::

In Memory of
In Honor of
Speedy Recovery

Butterfly 3 to be Released::

In Memory of
In Honor of
Speedy Recovery

Butterfly 4 to be Released::

In Memory of
In Honor of
Speedy Recovery

Additional Names:

Billing Information

In order to ensure that you are listed correctly in the program, please indicate that information in this section. For example, if you would like the program to say "So-and-so, remembered by You and Your Spouse," please write both your name and your spouse's name in the space below marked First name(s). Thank you!

Title:

*

First name(s):

*

Last name:

*

Country:

*

Address lines:

*

City:

*

State:

*

ZIP:

*

Phone:

*

Email:

*

Payment Information

Cardholder's Name:

*

Credit Card Number:

*

Card Type:

*

Card Expiration:

/

*

Card Security Code:

*