Every Brain Matters Memorial Form

Always Remembered, Always Loved, Never Forgotten

Thank you for sharing your loved one with us. We intend to honor and remember your loved one by publicly stating that marijuana’s effects are life-changing. Please complete all boxes marked with *. The rest of the information is at your discretion. We understand this can be difficult, so please email us at [email protected] with any questions or concerns. Rest assured, we will only share information with your approval. Your privacy is important to us.  

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Please write 1 to 3 sentences for each question. Describe your loved one before marijuana. What happened to your loved one from their marijuana use? What is life like now? What do you want the world to know about today’s expansion of industrialized marijuana and how this has affected your life?
  • Max. file size: 3 MB.