Clone of 2025 International Survivors of Suicide Loss Day at the Butterfly House and Aquarium

Helpline Center

3817 S Elmwood Ave

Sioux Falls SD 57105

griefsupport@helplinecenter.org
Butterfly Release Registration Form

Saturday, November 21, 2026 from 1:00pm-3:00pm
Please complete the following form to reserve a butterfly for the International Survivors of Suicide Loss Day at the Butterfly House and Aquarium. One Butterfly will be provided to release in memory of a loved one lost to suicide. Staff will read the names of loved ones submitted through the below form.
Name of person registering

First NameLast Name
E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Number of Family Members Attending
Name of loved one you want read at the butterfly release ceremony:

First NameLast Name
Phonetic spelling of the name to assist readers of correct pronunciation.

First NameLast Name
Should be Empty:

Butterfly Release Registration Form