Registration Praying For Wellness, Deceased

26/11-05/12-2022

Anaheim Convention Center
800 W Katella Ave.,
Anaheim, CA 9280277584

(Accept photos in portrait format; .jpg, .png file only)

Full Name

Age

Dharma Name

Living in

Photo

Full Name

Age

Dharma Name

Living in

Upload Image

Upload

file.jpg

(Accept photos in portrait format; .jpg, .png file only)

Full Name

Age

Dharma Name

Location of death

Photo

Full Name

Age

Dharma Name

Died at

Died due to COVID-19

Upload Image

Upload

file.jpg

Notes/Comments

Register names for ”Prayer for Wellness”

Full Name	Age	Dharma Name	Living in	Photo

Full Name	Age	Dharma Name	Location of death	Photo