{"id":111,"date":"2014-05-23T10:52:43","date_gmt":"2014-05-23T14:52:43","guid":{"rendered":"https:\/\/madd.ca\/tributes\/en\/?page_id=111"},"modified":"2016-09-12T11:07:28","modified_gmt":"2016-09-12T15:07:28","slug":"submit-a-tribute","status":"publish","type":"page","link":"https:\/\/madd.ca\/tributes\/en\/submit-a-tribute\/","title":{"rendered":"Submit a tribute"},"content":{"rendered":"<div id=\"vfb-form-1\" class=\"visual-form-builder-container\"><form id=\"online-tribute-submission-form-1\" class=\"visual-form-builder vfb-form-1 \" method=\"post\" enctype=\"multipart\/form-data\">\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"1\" \/><fieldset class=\"vfb-fieldset vfb-fieldset-1 online-tribute-submission-form \" id=\"item-vfb-1\"><div class=\"vfb-legend\"><h3>Online Tribute Submission Form<\/h3><\/div><ul class=\"vfb-section vfb-section-1\"><li class=\"vfb-item vfb-item-instructions  \" id=\"item-vfb-26\"><label class=\"vfb-desc\"> <\/label><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-175 size-medium\" src=\"https:\/\/madd.ca\/tributes\/en\/wp-content\/uploads\/2014\/06\/RememberANDHonour.png\" alt=\"Remember and honour your loved ones...\" width=\"500\" height=\"242\" \/><\/li><li class=\"vfb-item vfb-item-instructions  \" id=\"item-vfb-5\"><label class=\"vfb-desc\"> <\/label><span style=\"color:black\">All tributes in this section have been added at the request of a victim\/survivor or a member of their family. We do need to have the permission of the injured victim\/survivor or the next of kin of the victim\/survivor before posting the tribute. This can be emailed or scanned and sent to <a href=\"mailto:mwetmore@madd.ca\">mwetmore@madd.ca<\/a>. If you have any questions on your submission, please contact Meghann Wetmore at 1-800-665-6233 ext 225 for assistance.  Please allow a few working days for your submission to be approved and posted.<\/span><br>\r\n<br>\r\n<span style=\"color:black\">If you prefer to print a form and submit by mail, please <a href=\"https:\/\/madd.ca\/tributes\/en\/wp-content\/uploads\/2014\/06\/Remember-Honour-Your-Loved-Ones-2013.pdf\" target=\"_blank\">click here<\/a>.<\/span><br>\r\n<br>\r\n<span style=\"color:black\">* indicates required field<\/span><\/li><div id=\"item-vfb-17\" class=\"vfb-section-div \"><h4>Your Information<\/h4><\/div><div class=\"vfb-clear\"><\/div><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-7\"><label for=\"vfb-7\" class=\"vfb-desc\">Your name  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-7\" id=\"vfb-7\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><label>First and last name of person submitting tribute<\/label><\/span><\/li><li class=\"vfb-item vfb-item-radio  \" id=\"item-vfb-60\"><label class=\"vfb-desc\">I am a  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-60\" id=\"vfb-60-1\" value=\"Victim\/survivor\" class=\"vfb-radio  required \" \/><label for=\"vfb-60-1\" class=\"vfb-choice\">Victim\/survivor<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-60\" id=\"vfb-60-2\" value=\"Parent\" class=\"vfb-radio  required \" \/><label for=\"vfb-60-2\" class=\"vfb-choice\">Parent<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-60\" id=\"vfb-60-3\" value=\"Sibling\" class=\"vfb-radio  required \" \/><label for=\"vfb-60-3\" class=\"vfb-choice\">Sibling<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-60\" id=\"vfb-60-4\" value=\"Spouse\/partner\" class=\"vfb-radio  required \" \/><label for=\"vfb-60-4\" class=\"vfb-choice\">Spouse\/partner<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-60\" id=\"vfb-60-5\" value=\"Family relative\" class=\"vfb-radio  required \" \/><label for=\"vfb-60-5\" class=\"vfb-choice\">Family relative<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-60\" id=\"vfb-60-6\" value=\"Other\" class=\"vfb-radio  required \" \/><label for=\"vfb-60-6\" class=\"vfb-choice\">Other<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-31\"><label for=\"vfb-31\" class=\"vfb-desc\">If other, please specify <\/label><input type=\"text\" name=\"vfb-31\" id=\"vfb-31\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-address  \" id=\"item-vfb-6\"><label class=\"vfb-desc\">Address  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-full\"><input type=\"text\" name=\"vfb-6[address]\" id=\"vfb-6-address\" maxlength=\"150\" class=\"vfb-text vfb-medium  required \" \/><label for=\"vfb-6-address\">Street Address<\/label><\/span><span class=\"vfb-full\"><input type=\"text\" name=\"vfb-6[address-2]\" id=\"vfb-6-address-2\" maxlength=\"150\" class=\"vfb-text vfb-medium  \" \/><label for=\"vfb-6-address-2\">Apt, Suite, Bldg. (optional)<\/label><\/span><span class=\"vfb-left\"><input type=\"text\" name=\"vfb-6[city]\" id=\"vfb-6-city\" maxlength=\"150\" class=\"vfb-text vfb-medium  required \" \/><label for=\"vfb-6-city\">City<\/label><\/span><span class=\"vfb-right\"><input type=\"text\" name=\"vfb-6[state]\" id=\"vfb-6-state\" maxlength=\"150\" class=\"vfb-text vfb-medium  required \" \/><label for=\"vfb-6-state\">State \/ Province \/ Region<\/label><\/span><span class=\"vfb-left\"><input type=\"text\" name=\"vfb-6[zip]\" id=\"vfb-6-zip\" maxlength=\"150\" class=\"vfb-text vfb-medium  required \" \/><label for=\"vfb-6-zip\">Postal \/ Zip Code<\/label><\/span><span class=\"vfb-right\"><select name=\"vfb-6[country]\" class=\"vfb-select  required \" id=\"vfb-6-country\"><option value=\"\"><\/option><option value=\"Afghanistan\">Afghanistan<\/option><option value=\"Albania\">Albania<\/option><option value=\"Algeria\">Algeria<\/option><option value=\"Andorra\">Andorra<\/option><option value=\"Angola\">Angola<\/option><option value=\"Antigua and Barbuda\">Antigua and Barbuda<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"Armenia\">Armenia<\/option><option value=\"Australia\">Australia<\/option><option value=\"Austria\">Austria<\/option><option value=\"Azerbaijan\">Azerbaijan<\/option><option value=\"Bahamas\">Bahamas<\/option><option value=\"Bahrain\">Bahrain<\/option><option value=\"Bangladesh\">Bangladesh<\/option><option value=\"Barbados\">Barbados<\/option><option value=\"Belarus\">Belarus<\/option><option value=\"Belgium\">Belgium<\/option><option value=\"Belize\">Belize<\/option><option value=\"Benin\">Benin<\/option><option value=\"Bhutan\">Bhutan<\/option><option value=\"Bolivia\">Bolivia<\/option><option value=\"Bosnia and Herzegovina\">Bosnia and Herzegovina<\/option><option value=\"Botswana\">Botswana<\/option><option value=\"Brazil\">Brazil<\/option><option value=\"Brunei\">Brunei<\/option><option value=\"Bulgaria\">Bulgaria<\/option><option value=\"Burkina Faso\">Burkina Faso<\/option><option value=\"Burundi\">Burundi<\/option><option value=\"Cambodia\">Cambodia<\/option><option value=\"Cameroon\">Cameroon<\/option><option value=\"Canada\" selected='selected'>Canada<\/option><option value=\"Cape Verde\">Cape Verde<\/option><option value=\"Central African Republic\">Central African Republic<\/option><option value=\"Chad\">Chad<\/option><option value=\"Chile\">Chile<\/option><option value=\"China\">China<\/option><option value=\"Colombia\">Colombia<\/option><option value=\"Comoros\">Comoros<\/option><option value=\"Congo (Brazzaville)\">Congo (Brazzaville)<\/option><option value=\"Congo\">Congo<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Cote d\\'Ivoire\">Cote d\\'Ivoire<\/option><option value=\"Croatia\">Croatia<\/option><option value=\"Cuba\">Cuba<\/option><option value=\"Cyprus\">Cyprus<\/option><option value=\"Czech Republic\">Czech Republic<\/option><option value=\"Denmark\">Denmark<\/option><option value=\"Djibouti\">Djibouti<\/option><option value=\"Dominica\">Dominica<\/option><option value=\"Dominican Republic\">Dominican Republic<\/option><option value=\"East Timor (Timor Timur)\">East Timor (Timor Timur)<\/option><option value=\"Ecuador\">Ecuador<\/option><option value=\"Egypt\">Egypt<\/option><option value=\"El Salvador\">El Salvador<\/option><option value=\"Equatorial Guinea\">Equatorial Guinea<\/option><option value=\"Eritrea\">Eritrea<\/option><option value=\"Estonia\">Estonia<\/option><option value=\"Ethiopia\">Ethiopia<\/option><option value=\"Fiji\">Fiji<\/option><option value=\"Finland\">Finland<\/option><option value=\"France\">France<\/option><option value=\"Gabon\">Gabon<\/option><option value=\"Gambia, The\">Gambia, The<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Germany\">Germany<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Greece\">Greece<\/option><option value=\"Grenada\">Grenada<\/option><option value=\"Guatemala\">Guatemala<\/option><option value=\"Guinea\">Guinea<\/option><option value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option value=\"Guyana\">Guyana<\/option><option value=\"Haiti\">Haiti<\/option><option value=\"Honduras\">Honduras<\/option><option value=\"Hungary\">Hungary<\/option><option value=\"Iceland\">Iceland<\/option><option value=\"India\">India<\/option><option value=\"Indonesia\">Indonesia<\/option><option value=\"Iran\">Iran<\/option><option value=\"Iraq\">Iraq<\/option><option value=\"Ireland\">Ireland<\/option><option value=\"Israel\">Israel<\/option><option value=\"Italy\">Italy<\/option><option value=\"Jamaica\">Jamaica<\/option><option value=\"Japan\">Japan<\/option><option value=\"Jordan\">Jordan<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Kenya\">Kenya<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Korea, North\">Korea, North<\/option><option value=\"Korea, South\">Korea, South<\/option><option value=\"Kuwait\">Kuwait<\/option><option value=\"Kyrgyzstan\">Kyrgyzstan<\/option><option value=\"Laos\">Laos<\/option><option value=\"Latvia\">Latvia<\/option><option value=\"Lebanon\">Lebanon<\/option><option value=\"Lesotho\">Lesotho<\/option><option value=\"Liberia\">Liberia<\/option><option value=\"Libya\">Libya<\/option><option value=\"Liechtenstein\">Liechtenstein<\/option><option value=\"Lithuania\">Lithuania<\/option><option value=\"Luxembourg\">Luxembourg<\/option><option value=\"Macedonia\">Macedonia<\/option><option value=\"Madagascar\">Madagascar<\/option><option value=\"Malawi\">Malawi<\/option><option value=\"Malaysia\">Malaysia<\/option><option value=\"Maldives\">Maldives<\/option><option value=\"Mali\">Mali<\/option><option value=\"Malta\">Malta<\/option><option value=\"Marshall Islands\">Marshall Islands<\/option><option value=\"Mauritania\">Mauritania<\/option><option value=\"Mauritius\">Mauritius<\/option><option value=\"Mexico\">Mexico<\/option><option value=\"Micronesia\">Micronesia<\/option><option value=\"Moldova\">Moldova<\/option><option value=\"Monaco\">Monaco<\/option><option value=\"Mongolia\">Mongolia<\/option><option value=\"Montenegro\">Montenegro<\/option><option value=\"Morocco\">Morocco<\/option><option value=\"Mozambique\">Mozambique<\/option><option value=\"Myanmar\">Myanmar<\/option><option value=\"Namibia\">Namibia<\/option><option value=\"Nauru\">Nauru<\/option><option value=\"Nepal\">Nepal<\/option><option value=\"Netherlands\">Netherlands<\/option><option value=\"New Zealand\">New Zealand<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"Niger\">Niger<\/option><option value=\"Nigeria\">Nigeria<\/option><option value=\"Norway\">Norway<\/option><option value=\"Oman\">Oman<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Palestinian Territory\">Palestinian Territory<\/option><option value=\"Palau\">Palau<\/option><option value=\"Panama\">Panama<\/option><option value=\"Papua New Guinea\">Papua New Guinea<\/option><option value=\"Paraguay\">Paraguay<\/option><option value=\"Peru\">Peru<\/option><option value=\"Philippines\">Philippines<\/option><option value=\"Poland\">Poland<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Romania\">Romania<\/option><option value=\"Russia\">Russia<\/option><option value=\"Rwanda\">Rwanda<\/option><option value=\"Saint Kitts and Nevis\">Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\">Saint Lucia<\/option><option value=\"Saint Vincent\">Saint Vincent<\/option><option value=\"Samoa\">Samoa<\/option><option value=\"San Marino\">San Marino<\/option><option value=\"Sao Tome and Principe\">Sao Tome and Principe<\/option><option value=\"Saudi Arabia\">Saudi Arabia<\/option><option value=\"Senegal\">Senegal<\/option><option value=\"Serbia\">Serbia<\/option><option value=\"Seychelles\">Seychelles<\/option><option value=\"Sierra Leone\">Sierra Leone<\/option><option value=\"Singapore\">Singapore<\/option><option value=\"Slovakia\">Slovakia<\/option><option value=\"Slovenia\">Slovenia<\/option><option value=\"Solomon Islands\">Solomon Islands<\/option><option value=\"Somalia\">Somalia<\/option><option value=\"South Africa\">South Africa<\/option><option value=\"Spain\">Spain<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"Sudan\">Sudan<\/option><option value=\"Suriname\">Suriname<\/option><option value=\"Swaziland\">Swaziland<\/option><option value=\"Sweden\">Sweden<\/option><option value=\"Switzerland\">Switzerland<\/option><option value=\"Syria\">Syria<\/option><option value=\"Taiwan\">Taiwan<\/option><option value=\"Tajikistan\">Tajikistan<\/option><option value=\"Tanzania\">Tanzania<\/option><option value=\"Thailand\">Thailand<\/option><option value=\"Togo\">Togo<\/option><option value=\"Tonga\">Tonga<\/option><option value=\"Trinidad and Tobago\">Trinidad and Tobago<\/option><option value=\"Tunisia\">Tunisia<\/option><option value=\"Turkey\">Turkey<\/option><option value=\"Turkmenistan\">Turkmenistan<\/option><option value=\"Tuvalu\">Tuvalu<\/option><option value=\"Uganda\">Uganda<\/option><option value=\"Ukraine\">Ukraine<\/option><option value=\"United Arab Emirates\">United Arab Emirates<\/option><option value=\"United Kingdom\">United Kingdom<\/option><option value=\"United States of America\">United States of America<\/option><option value=\"Uruguay\">Uruguay<\/option><option value=\"Uzbekistan\">Uzbekistan<\/option><option value=\"Vanuatu\">Vanuatu<\/option><option value=\"Vatican City\">Vatican City<\/option><option value=\"Venezuela\">Venezuela<\/option><option value=\"Vietnam\">Vietnam<\/option><option value=\"Western Sahara\">Western Sahara<\/option><option value=\"Western Samoa\">Western Samoa<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"Zambia\">Zambia<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><\/select><label for=\"vfb-6-country\">Country<\/label><\/span><\/div><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-8\"><label for=\"vfb-8\" class=\"vfb-desc\">Telephone number  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-8\" id=\"vfb-8\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li><li class=\"vfb-item vfb-item-email  \" id=\"item-vfb-32\"><label for=\"vfb-32\" class=\"vfb-desc\">Email address  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"email\" name=\"vfb-32\" id=\"vfb-32\" value=\"\" class=\"vfb-text  vfb-medium  required  email \" \/><\/li><div id=\"item-vfb-18\" class=\"vfb-section-div \"><h4>Tribute Information<\/h4><\/div><div class=\"vfb-clear\"><\/div><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-10\"><label for=\"vfb-10\" class=\"vfb-desc\">Name of victim\/survivor  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-10\" id=\"vfb-10\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li><li class=\"vfb-item vfb-item-file-upload  \" id=\"item-vfb-19\"><label for=\"vfb-19\" class=\"vfb-desc\">Third party proof  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"file\" name=\"vfb-19\" id=\"vfb-19\" value=\"\" class=\"vfb-text  vfb-medium  required    {accept:'jpe?g|pdf|txt|docx?'}\" \/><label>Third party proof in victim's\/survivor's crash is required. Accepted file formats: JPG, PDF, DOCX, DOC<\/label><\/span><\/li><li class=\"vfb-item vfb-item-date  \" id=\"item-vfb-12\"><label for=\"vfb-12\" class=\"vfb-desc\">Date of crash <\/label><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-12\" id=\"vfb-12\" value=\"\" class=\"vfb-text vfb-date-picker  vfb-medium  \" data-dp-dateFormat=\"mm\/dd\/yy\" \/><label>You can use pop-up calendar or type date in window. Date format: mm\/dd\/yyyy<\/label><\/span><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-33\"><label for=\"vfb-33\" class=\"vfb-desc\">Age at time of crash <\/label><input type=\"text\" name=\"vfb-33\" id=\"vfb-33\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-16\"><label for=\"vfb-16\" class=\"vfb-desc\">Home city and province <\/label><input type=\"text\" name=\"vfb-16\" id=\"vfb-16\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-15\"><label for=\"vfb-15\" class=\"vfb-desc\">Your tribute  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-span\"><label>Text of your personalized online tribute (250 words or less)<\/label><\/span><textarea name=\"vfb-15\" id=\"vfb-15\" class=\"vfb-textarea  vfb-medium  required \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-file-upload  \" id=\"item-vfb-13\"><label for=\"vfb-13\" class=\"vfb-desc\">Tribute photo <\/label><span class=\"vfb-span\"><input type=\"file\" name=\"vfb-13\" id=\"vfb-13\" value=\"\" class=\"vfb-text  vfb-medium     {accept:'png|jpeg|jpg|gif'}\" \/><label>Please upload a photo of the victim\/survivor. File must be in JPG format.<\/label><\/span><\/li><li class=\"vfb-item vfb-item-file-upload  \" id=\"item-vfb-14\"><label for=\"vfb-14\" class=\"vfb-desc\">Additional photos (Please combine into a .zip file) <\/label><span class=\"vfb-span\"><input type=\"file\" name=\"vfb-14\" id=\"vfb-14\" value=\"\" class=\"vfb-text  vfb-medium     {accept:'zip|jpeg|jpg|png|gif'}\" \/><label>If you are adding more than one photo to the tribute, please combine them in a .zip file and upload here. Limit: 20 photos; size limit: 25MB.<\/label><\/span><\/li><li class=\"vfb-item vfb-item-radio  \" id=\"item-vfb-27\"><label class=\"vfb-desc\">Customized tribute image <\/label><div><span><label>Please choose an image for the top of the tribute page.<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-27\" id=\"vfb-27-1\" value=\"Candles&lt;br&gt;&lt;img class=&quot;alignleft wp-image-175 size-medium&quot; src=&quot;https:\/\/madd.ca\/tributes\/en\/wp-content\/uploads\/2014\/06\/candles500x102.jpg&quot; alt=&quot;Tribute candles&quot; width=&quot;500&quot; height=&quot;102&quot; \/&gt;\" class=\"vfb-radio  \" \/><label for=\"vfb-27-1\" class=\"vfb-choice\">Candles<br><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-175 size-medium\" src=\"https:\/\/madd.ca\/tributes\/en\/wp-content\/uploads\/2014\/06\/candles500x102.jpg\" alt=\"Tribute candles\" width=\"500\" height=\"102\" \/><\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-27\" id=\"vfb-27-2\" value=\"Winter scene&lt;br&gt;&lt;img class=&quot;alignleft wp-image-175 size-medium&quot; src=&quot;https:\/\/madd.ca\/tributes\/en\/wp-content\/uploads\/2014\/06\/winterscene-500x102.jpg&quot; alt=&quot;Winter scene&quot; width=&quot;500&quot; height=&quot;102&quot; \/&gt;\" class=\"vfb-radio  \" \/><label for=\"vfb-27-2\" class=\"vfb-choice\">Winter scene<br><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-175 size-medium\" src=\"https:\/\/madd.ca\/tributes\/en\/wp-content\/uploads\/2014\/06\/winterscene-500x102.jpg\" alt=\"Winter scene\" width=\"500\" height=\"102\" \/><\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-27\" id=\"vfb-27-3\" value=\"Teddy bears&lt;br&gt;&lt;img class=&quot;alignleft wp-image-175 size-medium&quot; src=&quot;https:\/\/madd.ca\/tributes\/en\/wp-content\/uploads\/2014\/06\/teddybears-500x102.jpg&quot; alt=&quot;Teddy bears&quot; width=&quot;500&quot; height=&quot;102&quot; \/&gt;\" class=\"vfb-radio  \" \/><label for=\"vfb-27-3\" class=\"vfb-choice\">Teddy bears<br><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-175 size-medium\" src=\"https:\/\/madd.ca\/tributes\/en\/wp-content\/uploads\/2014\/06\/teddybears-500x102.jpg\" alt=\"Teddy bears\" width=\"500\" height=\"102\" \/><\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-27\" id=\"vfb-27-4\" value=\"Water scene&lt;br&gt;&lt;img class=&quot;alignleft wp-image-175 size-medium&quot; src=&quot;https:\/\/madd.ca\/tributes\/en\/wp-content\/uploads\/2014\/06\/oceanview-500x102.jpg&quot; alt=&quot;Ocean view&quot; width=&quot;500&quot; height=&quot;102&quot; \/&gt;\" class=\"vfb-radio  \" \/><label for=\"vfb-27-4\" class=\"vfb-choice\">Water scene<br><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-175 size-medium\" src=\"https:\/\/madd.ca\/tributes\/en\/wp-content\/uploads\/2014\/06\/oceanview-500x102.jpg\" alt=\"Ocean view\" width=\"500\" height=\"102\" \/><\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-27\" id=\"vfb-27-5\" value=\"Field of daisies&lt;br&gt;&lt;img class=&quot;alignleft wp-image-175 size-medium&quot; src=&quot;https:\/\/madd.ca\/tributes\/en\/wp-content\/uploads\/2014\/06\/daisiesinfield-500x102.jpg&quot; alt=&quot;Daisies in a field&quot; width=&quot;500&quot; height=&quot;102&quot; \/&gt;\" class=\"vfb-radio  \" \/><label for=\"vfb-27-5\" class=\"vfb-choice\">Field of daisies<br><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-175 size-medium\" src=\"https:\/\/madd.ca\/tributes\/en\/wp-content\/uploads\/2014\/06\/daisiesinfield-500x102.jpg\" alt=\"Daisies in a field\" width=\"500\" height=\"102\" \/><\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-27\" id=\"vfb-27-6\" value=\"Canoes&lt;br&gt;&lt;img class=&quot;alignleft wp-image-175 size-medium&quot; src=&quot;https:\/\/madd.ca\/tributes\/en\/wp-content\/uploads\/2014\/06\/canoes-500x102.jpg&quot; alt=&quot;Canoes on the beach&quot; width=&quot;500&quot; height=&quot;102&quot; \/&gt;\" class=\"vfb-radio  \" \/><label for=\"vfb-27-6\" class=\"vfb-choice\">Canoes<br><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-175 size-medium\" src=\"https:\/\/madd.ca\/tributes\/en\/wp-content\/uploads\/2014\/06\/canoes-500x102.jpg\" alt=\"Canoes on the beach\" width=\"500\" height=\"102\" \/><\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-27\" id=\"vfb-27-7\" value=\"Bird in clouds&lt;br&gt;&lt;img class=&quot;alignleft wp-image-175 size-medium&quot; src=&quot;https:\/\/madd.ca\/tributes\/en\/wp-content\/uploads\/2014\/06\/birdinclouds-500x102.jpg&quot; alt=&quot;Bird in the clouds&quot; width=&quot;500&quot; height=&quot;102&quot; \/&gt;\" class=\"vfb-radio  \" \/><label for=\"vfb-27-7\" class=\"vfb-choice\">Bird in clouds<br><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-175 size-medium\" src=\"https:\/\/madd.ca\/tributes\/en\/wp-content\/uploads\/2014\/06\/birdinclouds-500x102.jpg\" alt=\"Bird in the clouds\" width=\"500\" height=\"102\" \/><\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-27\" id=\"vfb-27-8\" value=\"Sports equipment&lt;br&gt;&lt;img class=&quot;alignleft wp-image-175 size-medium&quot; src=&quot;https:\/\/madd.ca\/tributes\/en\/wp-content\/uploads\/2014\/06\/sports-500x102.jpg&quot; alt=&quot;Sports&quot; width=&quot;500&quot; height=&quot;102&quot; \/&gt;\" class=\"vfb-radio  \" \/><label for=\"vfb-27-8\" class=\"vfb-choice\">Sports equipment<br><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-175 size-medium\" src=\"https:\/\/madd.ca\/tributes\/en\/wp-content\/uploads\/2014\/06\/sports-500x102.jpg\" alt=\"Sports\" width=\"500\" height=\"102\" \/><\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-27\" id=\"vfb-27-9\" value=\"Dragonflies&lt;br&gt;&lt;img class=&quot;alignleft wp-image-175 size-medium&quot; src=&quot;https:\/\/madd.ca\/tributes\/en\/wp-content\/uploads\/2014\/09\/dragonflies-500x102.jpg&quot; alt=&quot;Dragonflies&quot; width=&quot;500&quot; height=&quot;102&quot; \/&gt;\" class=\"vfb-radio  \" \/><label for=\"vfb-27-9\" class=\"vfb-choice\">Dragonflies<br><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-175 size-medium\" src=\"https:\/\/madd.ca\/tributes\/en\/wp-content\/uploads\/2014\/09\/dragonflies-500x102.jpg\" alt=\"Dragonflies\" width=\"500\" height=\"102\" \/><\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-radio  \" id=\"item-vfb-28\"><label class=\"vfb-desc\">Guest memories section  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span><label>Do you want other people to add memories to this tribute page? All submissions are subject to approval by MADD Canada staff.<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-28\" id=\"vfb-28-1\" value=\"Yes\" class=\"vfb-radio  required \" \/><label for=\"vfb-28-1\" class=\"vfb-choice\">Yes<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-28\" id=\"vfb-28-2\" value=\"No\" class=\"vfb-radio  required \" \/><label for=\"vfb-28-2\" class=\"vfb-choice\">No<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-22\"><label for=\"vfb-22\" class=\"vfb-desc\">Other information <\/label><div><span class=\"vfb-span\"><label>Is there anything else you would like us to know?<\/label><\/span><textarea name=\"vfb-22\" id=\"vfb-22\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-instructions  \" id=\"item-vfb-23\"><label class=\"vfb-desc\"> <\/label>MADD Canada reserves the right to edit statements to conform to spacing constraints. By submitting information for the inclusion in the Online Tribute, you acknowledge that the information may be reproduced, altered or rebroadcast by parties who visit the site. You agree that MADD Canada is not responsible for any errors, alteration or damage to information provided by the victims' family, or for the use of any such information or material by anyone accessing or linking to the tribute website. MADD Canada maintains the right to exclude any photograph and\/or tribute which does not comply with current MADD Canada policies.<\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-2 verification \" id=\"item-vfb-2\" style=\"display:block\"><div class=\"vfb-legend\"><h3>Verification<\/h3><\/div><ul class=\"vfb-section vfb-section-2\"><li class=\"vfb-item vfb-item-secret\"  style=\"display:block\"><label for=\"vfb-3\" class=\"vfb-desc\">Please enter any two digits <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"hidden\" name=\"_vfb-secret\" value=\"vfb-3\" \/><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-3\" id=\"vfb-3\" value=\"\" class=\"vfb-text  vfb-medium  required {digits:true,maxlength:2,minlength:2} \" style=\"display:block\" \/><label>Example: 12<\/label><\/span><li style=\"display:none;\"><label>This box is for spam protection - <strong>please leave it blank<\/strong>:<\/label><div><input name=\"vfb-spam\" \/><\/div><\/li>\n\t\t\t<li class=\"vfb-item vfb-item-submit\" id=\"item-vfb-4\">\n\t\t\t\t\t\t<input type=\"submit\" name=\"vfb-submit\" id=\"vfb-4\" value=\"Submit\" class=\"vfb-submit \" \/>\n\t\t\t\t\t\t<\/li><\/ul>\n\t\t\t<\/fieldset><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/tributes\/en\/wp-json\/wp\/v2\/pages\/111\" \/><\/form><\/div> <!-- .visual-form-builder-container -->\n","protected":false},"excerpt":{"rendered":"Online Tribute Submission Form All tributes in this section have been added at the request of a victim\/survivor or a member of their family. We do need to have the permission of the injured victim\/survivor or the next of kin&hellip; <a class=\"continue\" href=\"https:\/\/madd.ca\/tributes\/en\/submit-a-tribute\/\">Continue reading<span> Submit a tribute<\/span><\/a>","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-111","page","type-page","status-publish","hentry","entry","no-media"],"_links":{"self":[{"href":"https:\/\/madd.ca\/tributes\/en\/wp-json\/wp\/v2\/pages\/111","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/madd.ca\/tributes\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/madd.ca\/tributes\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/madd.ca\/tributes\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/madd.ca\/tributes\/en\/wp-json\/wp\/v2\/comments?post=111"}],"version-history":[{"count":6,"href":"https:\/\/madd.ca\/tributes\/en\/wp-json\/wp\/v2\/pages\/111\/revisions"}],"predecessor-version":[{"id":178,"href":"https:\/\/madd.ca\/tributes\/en\/wp-json\/wp\/v2\/pages\/111\/revisions\/178"}],"wp:attachment":[{"href":"https:\/\/madd.ca\/tributes\/en\/wp-json\/wp\/v2\/media?parent=111"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}