Legacy Project

Choose a meaningful way to preserve your voice, values and connections. You control what is recorded, photographed, shared and who may receive it. You may change or withdraw permission before the material is used. Legacy work is separate from a will or formal instructions for valuable property; legal questions should be referred to a qualified professional.

Client / authorized decision-maker name *

Primary email address *

Chosen project and purpose *

Preferred legacy project *

Legacy Life Story Book
Letters for Future Moments
Recorded Voice and Video Collection
Family Recipe and Tradition Collection
Legacy or Memory Box
I would like help choosing

Who will receive or care for the completed project? *

Materials needed and where they are located

Who will help complete the project?

Planned steps, responsible people and target dates

Permission to use my written words as agreed *

I consent
I do not consent
Not applicable

Permission to use selected photographs as agreed *

I consent
I do not consent
Not applicable

Permission to make and use agreed audio recordings *

I consent
I do not consent
Not applicable

Permission to make and use agreed video recordings *

I consent
I do not consent
Not applicable

Sharing outside the people I name *

I do not consent to sharing outside the people named
I consent only as described below
I would like to discuss this first

Approved recipients and permitted use

Typed signature / full legal name *

Date *