A Celebration of Lives Input Form

A Celebration of Lives

This online memorial is created as a permanent record of the lives and challenges individuals have faced with Primary Immunodeficiency and maintained by Immunodeficiency Canada.
  • Choose a photo to upload that is under 50MB and is a .png, .gif or .jpg format.
  • NOTE: Submission of individuals to the Celebration of Lives webpage will only be completed once verification has taken place.
  • For Verification

    Please fill in the information below to verify the information submitted above.
  • Please provide a copy of death certificate or legal written notice or you can provide a link to the funeral home notice in the box below.