In Memoriam

 dragonfly right

 

MEMORIAL WALL

Solace of the Valley is a non-profit organization formed to bring awareness and education to the community that addiction is a brain disorder. 

We have created a memory wall dedicated to honoring those who have lost their struggle with addiction. The memorial wall will be on display in remembrance at each Solace of the Valley event. 

We would like to honor a loved one you lost as a result of addiction by including a photograph on our memory wall. Please complete the form below so that we may include him/her in our memory wall.

----Photo Release Form

For good and valuable consideration, the receipt of which is hereby acknowledged, I hereby authorize Solace of the Valley permission to use my loved one's likeness in a photograph in any and all of its publications, including but not limited to all Solace of the Valley's printed and digital publications. I understand and agree that any photograph using my loved one's likeness will become property of Solace of the Valley and will not be returned.

I acknowledge that since my participation with Solace of the Valley is voluntary, I will receive no financial compensation. I hereby irrevocably authorize Solace of the Valley to edit, alter, copy, exhibit, publish or distribute this photo for purposes of publicizing Solace of the Valley's programs or for any other related, lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears.

I do hereby assert I have legal standing to provide this photograph and that I hold harmless, release and forever discharge Solace of the Valley from all claims, demands and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

By submitting this form, you are authorizing Solace of the Valley with the terms stated above.


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Dennis Howells

Lloyd Myers

Jeremy Riley

Kimberly Ferline (2)

Chad Holley

Sierra Renee Giovannone Roberts (2)

 

Daniel J. Niehorster (2)

 

Megan Rae Fitzgerald

Jonathan Phipps

Sean Ungaro

John David Brozman (2)

 

Daniel Shane Bussard (2)

 

Rebecca Graboyes

Christopher Burns

Jessica Porter

Angelo Dominick Martino Jr.

Shane Dolan

Adam Pierce 2) 

David Norman (2) 

Lou Ann Bevan 

Heather Carver

Joshua Sansota

Joshua Moser

John C. Petrello

Erik Demetruk

David Fox

Autumn Ansel

Mathew Phillip McIntosh

Cory Gill

Andrew W. Bryant

jesse-repko-slide

carly-ginnicks

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