In Memoriam Form

Your Email*

First Name of Deceased.

Last Name of Deceased.

Name of Deceased while at Gloucester High School if different from current name. (Optional. Maiden names are helpful.)

Place of Residence at Time of Death, if known.
City, Province/State, Country
Graduation Year or Years they were at Gloucester, if known.
Please provide any additional information about the deceased such as notes, obituary, links, etc.
Please check all relevant boxes.
Your Phone Number. (Optional)