Hamilton Co. COVID-19 Memory Project FORM

Our community has experienced a great deal of loss in the last year because of the novel coronavirus pandemic. The virus may have taken the lives of so many of our loved ones, but it cannot take our memories of them. If you have lost someone to the virus, please use this as a place to share as much or as little as you want. The lives of our neighbors in Hamilton County deserve to be remembered, celebrated, and shared. Their memories, like your love for them, live on.

Please fill out the form below to highlight your loved one on the Hamilton County COVID-19 Memory Project website and social media channels.

Submitter First & Last Name:*
Submitter Email Address:*
Submitter's Relationship to Loved One*
Name of Loved One:*

You may submit the full name of your loved one, a partial name, or a nickname- however you feel most comfortable referring to them.
Age of Loved One:*
Please enter a number from 0 to 150.
Date of Loved One's Passing:*
Link to Loved One's Obituary (Optional):

You may submit a link to a loved one's obituary if you would like for that to be shared with your loved one's profile.
Loved One's Home Town/City:
What was your loved one's occupation? (Optional)
You may submit anything related to where your loved one worked, what their role was, etc.
What did your loved one enjoy doing? (Optional)
You may submit any information you feel comfortable sharing about how your loved one spent their free time. Did they have any favorite hobbies or pastimes? Favorite vacation spots? Unique passions?
Are there any particular books, movies, songs, or places that you associated with your loved one? (Optional)
You may submit any associations that you may remember your loved one with or any books, songs, movies, etc. that your loved one enjoyed.
Did your loved one have a favorite poem, quote, scripture, piece of advice? (Optional)
You may submit any words your loved one lived by and/or any sayings they may have quoted regularly.
Do you have any special memories you'd like to share about your loved one? (Optional)
You may submit any memory/memories here that you or family share from time spent with your loved one.
Please describe your loved one in any way that you would like this community to remember them (Optional):
You may submit any additional information, descriptions, memories, or any other final words about your loved one and how you think they should be remembered.
Please upload photos of your loved one that you'd like to share.
Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 100 MB, Max. files: 5.
You may submit up to 5 photos of your loved one, their family, or any other photo that you'd like to share.
Consent to Share:*
- Yes
By selecting "Yes" below and submitting this form, you are consenting to the informatoin submitted being shared on the City of Chattanooga website, social media sites, and/or other third-party channels that we may not have direct control over.