Newsletter

1. FFAMILIES & FRIENDS OF
MURDER VICTIMS, Inc.
(FFMV)
Newsletter November 2017
Thank-you:
*Carol Anderson – Website
*Kaiser – Oakland
*Avaxat Elementary School- Murrieta
*St. Anthony’s Catholic Church-Upland
*Christ The Redeemer Catholic Church
Grand Terrace
*First United Methodist Church of La Puente
* United Methodist Church of Sepulveda
*San Bernardino County District Attorney’s Office of
Victim Services/Victim Advocates
* Linda Rodriguez – Mother of Angel - Memory Cards
*Janet Garcia Facebook administrators
* Ellie Rossi – Mother of David and Lisa
Ralph and Arlene Payan – Parents of Raul Payan
On the night of October 1, 2017, a
gunman opened fire on a crowd of
concertgoers at the Route 91 Harvest
music festival on the Las Vegas Strip
in Nevada, leaving 58 people dead
and 546 injured.
The incident is the deadliest mass
shooting committed by an individual
in the United States …motive is
unknown
I personally know two people who
survived this horrible act.
Need Someone to Talk To?
* Bertha Flores - Parent - Spanish speaking
(909) 200-5499 (after 3pm)
*Rose Madsen – Parent (909) 798-4803 (after 4pm)
Redlands CA
*Donna Lozano - Parent – 760-660-9054
* Palm Springs/Coachella Valley 10am-9pm
*Linda Rodriguez -Parent – 951-369-0010-Home –
951-732-3255 - Riverside
* Ellie Rossi - Parent - 909-810-8133 Yucaipa CA
* Richard McVoy – Adult Sibling –
909-503-5456 – Grand Terrace CA
* Tanya Powell - Parent – 760-596-2292-
Upland CA
Families & Friends of Murder Victims:
A non-profit organization
Dedicated to providing information, support, and
friendship to persons who have experienced the
death of a loved one through the violent act of
murder
Share Sorrow…..
Share Strength
Mission: To restore a sense of hope and to
provide a pathway to well-being to those who
have lost a loved one to murder and to those who
are victims of attempted murder.
Love Gifts
Love gifts are a specific tax deductible donation made
to the memory of a loved one’s birthday, anniversary
of a death, holiday, or just because which are posted
in newsletter. They are also made by caring
professionals, organizations to help in the work that
FFMV does with victims/survivors. These gifts help
with the expenses incurred in reaching out to others
and operating expenses. When making out a check,
please make payable to FFMV and note Love Gift on
check or envelope.
Love Gifts can be mailed to FFMV-
P.O. Box 11222 San Bernardino, Ca. - 92423-1222
In Loving Memory
Roberto “Bobby” Ruiz
4/12/82 – 11/20/05
Join Families & Friends of Murder Victims on
Thank-you
Janet Garcia
Mother of Jesse Garcia – 6/10/78 – 6/27/94
Barbara Christian – RIP – 9/30/17
Mother of Terri Lynn Winchell –4/10/63 – 1/8/81

2. FFMV - Riverside Chapter
Due to our Chapter Leaders
health, chapter is suspended
until further notice
FFMV - Colton Chapter
3rd
Monday of every month
Christ The Redeemer Catholic Church
Robinson Hall – Room 6
12745 Oriole Ave Grand Terrace, CA
92313
Time: 6:15pm - 8:00pm
Contact person for directions or
information Rose – 909-754-6969
mail4ffmv@yahoo.com
NOTE NEW DAY & TIME
Next MEETING November 20th, 2017
Oakland Chapter
1st
Tuesday of every month
Kaiser in Oakland, Howe St. at
Broadway, 7pm-9pm
12th floor Room 1200 East
Contact: Robin – 510-653-8069
Sandra – 510-691-7089
MEETING November 7th, 2017
Grief Support Group
ALL are welcome at our monthly meetings.
Whether you are a parishioner or not. If you are
suffering the loss of a loved one and in need to talk
to someone, we are here to listen and share
emotions.
Together and with the help of the Lord, we can
help each other heal.
Meetings are held every 2nd
Wednesday of the
month 7 to 9 P.M. ~ Room 8
St. Anthony’s Church 1640 Western Ave. San
Bernardino (909)887-3810
Contacts: Hope Morfin (909)820-6163
Ralph & Arlene Payan (909)887-4387
(FFMV Participants)
Danny & Rose Equihua (909) 887-3744
FFMV
West End Chapter -Bi-lingual
Meets every 2nd
Thursday of every month at
7:00pm-8:30pm
St. Anthony’s Catholic Church
Conference Room
2210 North San Antonio Upland, CA 91786
Participants have the option of the
English & Spanish Meeting
Local Grupo Bilingue
Los participantes pueden escoger en Inglés
o en Español
Se reunen cada Segundo Jueves del mes a
las 7:00 p.m.
Contact persons/ Personas de contacto:
Rita Marin (909) 215-7063
rittaatffmv@aol.com
Contact Rita by Wednesday November 8th if
you will be attending meeting on
Thursday November 9, 2017
FFMV – SGV Chapter
Meetings are on the 2nd Tuesday of each month
7pm-9pm in a classroom at the First United
Methodist Church of La Puente, located at. 15701
Hill Street, La Puente, CA 91744
Contact information
* Luz Ruiz (626) 388-6403
Next Meeting November 14th, 2017
Bridge to Our Angels
Grieving Parents of Adult & Young Children
Mondays @ 4pm
Christ the Servant Lutheran Church Fellowship
Hall 2 South Pecos RD. Henderson NV 89074
Facilitated by Grieving parents
Sharon 702-238-8722 & Donna 702-688-1367
Inmate Locator, Department of Corrections is
now making it easier for people to locate
prison inmates; it’s a free online search and
is open to the general public.
http://inmatelocator.cdcr.ca.gov
There has been many new laws … so there
changes to website … make sure you check
on your offender and make sure your contact
information is updated. You can make
changes and additions online.

3. FFMV Fundraisers
Office Depot - Staples – Office Max
If you shop at Office Depot or Staples please
use FFMV’s Rewards Number for Office Depot
which is 1139461170 Office Max – 650756207,
Staples- or use just give them 909-798-4803
for all three. We get reward points that help
defray the cost of printing, ink cartridges and
office supplies.
PLEASE….Don‘t throw away your old ink
cartridges! Continue to bring them to us, or take
them to Office Max, Staples or Office Depot and
give them 909-798-4803
It’s an easy way to help
FFMV purchase office supplies.
Support Families & Friends of Murder Victims by
starting your shopping at smile.amazon.com.
It's easy, just go to smile.amazon.com and enter
"Families & Friends of Murder Victims" in the
search box. Click "Families & Friends of Murder
Victims" and Amazon will donate .5% of the
price of your eligible purchases to FFMV
whenever you shop. SmileAmazonSmile is the
same Amazon you know. Same products, same
prices, same service.
Online affirmations for grief support free for
365 days
http://www.markbshawmortuary.com/
Check out this website and click on Grief
Support
In Loving Memory
Eileen Nicole Ponce
11/5/85 – 2/15/08
Resources and Additional Support Services
San Bernardino County District Attorney’s Office
of Victim Witness Centers: San Bernardino
(909) 382-3846
Rancho Cucamonga: (909) 945-4241*
Victorville/Desert area: (760)552-6947
Riverside County District Attorney’s Office of
Victim Witness Centers:
Riverside: (951) 955-5450
Murrieta: (951) 304-5680 * Banning: (951) 922-7130
* Indio: (760) 863-8408
*Los Angeles County District Attorney's Victim
Witness Assistance Program offices:
Pomona: 909) 620-3381
*Life.After.Uncivil.Ruthless.Acts.
323-816-9651 www.laurala.org
* WINGS OF JUSTICE – Website
www.murdermislabeledsuicide.com/WingsofJustice
*Women Against Gun Violence – 310-204-2348
www.wagv.org
* Crime Victims United of California –
530-885-9544 www.crimevictimsunited.com or
mail@crimevictimsunited.com
* North American Victim Assistance (NOVA)
www.trynova.org
* Victims of Crime Resources Center
800) VICTIMS
* POMC - (888) 818-POMC www.pomc.org
GOC – Debra – 714-999-7132
IE Chapter – Linda – 909-653-7236
* Citizens Against Homicide - (415) 455-5944
* Justice for Murdered Children - (310) 547-1367
* Memory of Victims Everywhere - (949) 248-5470
MOVE@cox.net
* Resource for the Grieving and
* Crime Survivors – 949-872-7895
www.crimesurvivors.com
*JUSTICE FOR HOMICIDE VICTIMS –
(310) 457-0030 -
jhvinfo@justiceforhomicidevictims.com
* Striving Towards Eradicating Violence In Ennercities
-S.T.E.V.I.E. stevieisunityandpeace@yahoo.com
oneunikadvocate2@aol.com
* Survivors of Murdered Children SGV Chapter –
Tina-626-298-9054 -tinayyama@att.net
*Homicide Survivors Support Group
Meets every 2nd
Tuesday at 7pm
Solono Family Justice Center
604 Empire St. Fairfield CA
Contacts: Valerie Dodini
v.dodin.law@sbcglobal.net
Rita Edmonds-Norris at 707-631-281
* Margaret Goldman – MA MFT
760-946-9036 – Apple Valley, CA
*Option House: www.optionhouseinc.org
Hotline:909-381-3471

4. November
2017
Birthdays
and
Memories

5. November 2017 Birthdays
Alfonso Lopez Ashley Nicole Randles
Amber Martnez Andres Garced Jr. Anthony Prudhomme
Anthony Turner Jr. Aubrey Maloy
Balam Alcaraz Vega Charles Shaw
Christina Duran Christhopher Heyman
Christhoper Mykle Sanchez Corrina Wilson
Damon L. Jones Sr. David Leon II
Derek Wiltz II Doctor Fernandez
Dwayne Durston III Eileen Ponce
Eloy Conrad Duran lll Frank Salinas
Gabriel Vargas Herbert Souther
Jennifer Rene Parisi-Krajnak Jerry Sehrs
Jonathan Olagues Jose Tamez III
Jose Funtes Juan Macias
Juanita Martinez Katie Brennar
Lindel Fields Marcus Ringo
Maria Sanchez Maria DeLos Angeles Maggallon
Mark Adam Rodriguez Melanie Miers
Michael Villegas Jr. Michael Grier
Michele Lynette Baily Michiel A. Hyder-Blamey
Mickey Thompson Raymond Cole
Richard Albidrez Roy Hall
Sabrina Brown Sebastian Orioli
Salvador Olivas Jr. Teresa Soto Del Rio
Timothy Gaines Tommy Matthews Jr
No matter how long, no matter how short,a life lived is never lost to those who remember!

6. NOVEMBER 2017 Memories
Alexander Ray Esparza Amber Martinez
Andrian Riva Andre Reyes Anthony Prudhomme
Brandon Michael Selph Christina Duran
Christopher Mykie Sanchez Damon Jones Sr.
David Garcia David Padilla
Evan Todd Kinard Greg W. Gibson II
Gilbert Rivera Jennifer LeAnne Balber
Jenny Rebecca Waltz Jerry Ramirez Jr.
Jose Esparza Joshua Rexford
Lisel Wiedeman Mark Mireles
Maraslee Ann Nicholas Mary Estes
Mary Beth Blaskey Melanie Miers
Michele Jeanette Carson Raymond Cole
Roberto Nanito De La Vegas Sr. Roberto “Bobby” Ruiz
Sonia Herrera Terry L. Stutson
Thomas Charles Pagent Jr. Trevor Johnson
Trevor John Neiman Vanessa Martinez
Yanize Lizette Mora

7. LOVE GIFTS
In Loving Memory of In Loving Memory of In Loving Memory of
Yanize Lizette Mora Michele Carson Joshua Rexford
3/28/94 – 11/2/10 12/22/84 – 11/7/10 10/8/76 – 11/27/94
JUSTICE SERVED!! September 26, 2017
Her 2mo.old Baby Isaiah
SURIVED!
In Loving Memory David Charles Nystrom – 2/21/64 - 7/27/98 & Lisa Cummings – 11/13/66 – 3/12/11
Brother and Sister in Heaven ….. now together watching over their Mom (Ellie Rossi)
Happy Birthday Lisa
--------------------------------------------------------Love Gift-----------------------------------------------------------------
Donation $_______________
Name (please print):_________________________________________________________________
Address____________________________________City/St.________________________Zip__________
Email address: __________________________________________________________
Your Phone # ( ) ____________________Relationship to Victim: _____________________________
Name of Victim: _________________________________________________________________
Date of Birth: Date of Death: ______________________
Please post my loved ones message and/or picture(s) for the month of: ___________
# of pictures enclosed/attached ____________ Use picture on file_______

8. Families & Friends of Murder Victims, Inc.
Annual Christmas Candlelight/Memorial Luncheon
All FFMV chapter members, their family, children, friends
and supporters of FFMV are invited to attend
When: Sunday December 10, 2017
Time: 2pm - 5pm
Where: The Diocese of San Bernardino Pastoral Center
1201 E. Highland Ave., San Bernardino, CA. 92404-4641
Families & Friends of Murder Victims, Inc.
Anual Navideño
LUZ DE UNA VELA CONMEMORATIVO
Todos los miembros del capítulo FFMV, su familia,
amigos y partidarios del FFMV son invitados a asistir.
Cuando: Domingo, 10 de diciembre del 2017
Hora: 2:00pm – 5:00pm
Adonde: Diócesis de San Bernardino, Centro Pastoral
1201 E. Highland Ave., San Bernardino, CA. 92404

9. CAMP GOOD GRIEF (SVP)
Camp Good Grief-Special Victims Program (SVP) is a joint effort between the San Bernardino County District Attorney's
Office Bureau of Victim Services and Loma Linda University Medical Center Children's Hospital. The 3-day grief camp is
geared toward homicide/suicide and is for children ages 10-16 who have experienced a violent death in their family.
At camp the children participate in game and team building activities and therapeutic group activities designed to help
them learn and understand how to cope with the grief over the violent death of their loved one. This camp has been so
successful that it has been expanded to include Camp Good Grief - Special Victims Program Teen Retreat. It will be held
annually and provides grief services for teens ages 14-18 who previously participated in Camp Good Grief - SVP and whose
lives have been positively impacted by camp. It will be a combination of learning advanced grief management skills as well
as a training camp for future Camp Good Grief Peer Counselors.
Camp is free of charge to all campers and camperships are funded by unclaimed victim restitution. Therapists and interns
from Loma Linda Marriage and Family Therapy Clinic, Loma Linda Child Life Specialists and District Attorney's Office Victim
Advocates donate their time to the camp.
The Bureau of Victim Services and Loma Linda University Children's Hospital have pledged to continue fundraising activities,
presentations to service groups, and outreach events so they may continue hosting future Camp Good Grief-SVP programs.
Contact: Dorothy Brooks 909-558-4073
Memory Jar 7th Annual Sunday, November 5, 2017
Candle Lighting to Remember 4pm – 6pm
A special evening of Love and Healing Heisler Park, Laguna Beach
As the sun sets on Laguna Beach, hundreds of luminaries will light up the sand. Each luminary
represents a loved one who is gone, but not forgotten -- a child, a parent, a sibling or friend
Meet at picnic tables at Heisler Park (look for purple balloons). Ample metered parking on Cliff Drive
and surrounding streets
Luminaries, candles and decorating materials are provided at no charge. If you would like to bring your
own supplies, you are more than welcome -- including small photos to attach. Or you can send your
request to: Memory JAR, 360 E. 1st Street #728, Tustin, CA 92680.
Please RSVP by November 4th to https://candlelighting2017.eventbrite.com.
Memory Jar has a FB page
If you cannot attend but would like your loved one remembered with a personal luminary, email us at
info@memoryjar.org and include your loved one's name. We will create a luminary for you, take
photos and then mail to you the week after the event. This is a no-charge event.
Please feel free to bring friends and family, and your camera - the scenery is breathtaking with the sunse

10. Justice for Homicide Victims, Inc.
P.O. Box 4202, Cerritos, Ca. 90703-4202 contact number- 310-457-0030
jhvinfo@gmail.com
victimvoices@yahoo.com
Contact: Jane Bouffard: 310-457-0030 or LaWanda Hawkins: 310-547-5362
PHOTO RLEASE OF YOUR LOVED ONE FOR JHV/JFMC PROJECTS TO PROMOTE “Unsolved Cases”
I ______________________________give” Justice for Homicide Victims, Inc. and Justice For Murdered
Children” Your first and last name
and their representatives and associates permission to publish information on your loved one’s murder, and
photographs of your loved one, on the internet, newspaper, television or radio.
______________________________________________________________________________________
Print name of loved one first and last name
I understand that the information and photo you provide of your loved one and of his/her murder circumstances,
maybe edited for both length and content. I further understand that the photograph I provide will not be
returned. So please make sure you have made extra copies for yourself.
I am 18 years or older. I have read the foregoing document and fully understand its content.
______________________________________________________________________________________
Signature Date
______________________________________________________________________________________
Address City Zip code
______________________________________________________________________________________
Telephone (s) E-Mail address
_____________________________________________________________________________________
Victim’s age Victims’ Birth & Murder date Your relationship to victim?
______________________________________________________________________________________
City where murder took place Any suspects arrested?
______________________________________________________________________________________
Detective’s name and telephone
Comments or additional information on your loved ones’ murdered:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

11. Show your support for Families & Friends of Murder Victims
while you save money and earn cash back!
Families & Friends of Murder Victims is participating in an exciting new fundraising program. The company now has its own
website featuring thousands of partner stores like Walmart, JC Penney, Best Buy, Apple, Home Depot and many more. When
you make a purchase on www.shop.com/ffmv *Families and Friends of Murder Victims* receives royalties and you earn up to
35% cash back on qualified purchases.
Now, you can take advantage of the ease and convenience of Internet
shopping to buy the products and services you want, while feeling
good about helping one of your favorite organizations.
Our new fundraising website has a variety of
benefits.
 Check out the Hot Deals page to get access to coupons
and exclusive deals to help you save even more.
 Go to the Partner Stores page to find specific stores that
you’d like to shop from.
 Use the Search feature at the top of the page to search over 35 million different products and services for things
you’re looking for.
 Discover unique products and services like, Isotonix® line of high quality nutritional supplements, DNA Miracles
Children’s Line, Cellular Laboratories® luxurious skin care line, Transitions™ Life Style System for weight
management, and many more.
 Find the perfect gift in our Gift Ideas area.
 Getting Started is Easy!
1) Visit our website at www.shop.com/ffmv and register (full shopping site)
2) Us.maexclusives.com/ffmv Monthly specials
3) Register as a Preferred Customer – Its Free to sign up!
 Click “Sign in” in the upper right hand corner
 Select the “No I am a new customer” option
 Follow the prompts
 There is a question highlighted in blue “Were you referred by a friend? Enter mail4ffmv@yahoo.com (that’s
how we begin our fundraising)
 You are now eligible to earn up to 35% cash back on qualified purchases
3) Go Shopping
 Use the search box at the top of the screen to find a specific item or type of product you’re looking for
 Use Shop Partners to find a specific partner like Best Buy or Walmart
 Use “Shop All Departments” to shop via category
 Use Hot Deals to find special deals and coupons to save even more money
 Look for the icon to find out exactly how much cash back you’ll earn from purchases made from that
store or on a particular product
 Add ShopBuddy app and never miss a Deal!
 When asked who referred please put our email address:mail4ffmv@yahoo.com
ANY Questions or ISSUES registering … Please contact Rose @ 909-754-6969 or
mail4ffmv@yahoo.com

12. I have been fortunate to have attended two different training sessions that Connie Saindon has taught. I have now facilitated and
co facilitated two 10week Journey Classes Thank you Connie for this opportunity … Rose Madsen
Follow the Violent Loss Resource Blog = https://svlnetwork.wordpress.com
Survivors Of Violent Loss Resources
Website Under Construction: We need your help too.
Take a look at our website and let us know what is missing and what you'd like to see
added. www.svlp.org
Restorative Retelling is an evidence based model that has been successful in supporting those who have lost
someone to a violent death. Restorative Retelling services include general counseling and group services.
A new ten-week group is being planned to start in October. Tammy Carter, MFTI is now doing prescreening for
services for those who have lost someone to violence. Call her at 619-685-0005 for more information. Group
leaders are Connie Saindon MFT and Tammy Carter, MFTI.

13. From Rose Madsen, Editor/Chair/co-founder of the
Colton & Coachella Chapter of FFMV
In Memory of my daughter Jennifer LeAnne Balber
12/02/73 – 11/10/94
A 20yr. old SoCal Gas Co. Meter Reader,
Fatally Shot in the Line of Service in Rialto, CA
My beautiful Jen…..I can no longer…See you with my eyes…Touch you with my hands…
But I will feel you in my heart….Forever…Love, Mom
This November 10. 2016 will be 23 yrs. that our Jen was murdered. I now celebrate her life, by sharing her
memories, and how she affected others. I still continue my healing journey.
So I did my yearly check on Jen's perpetrator and was surprised to see some big changes on his parole eligible
date. It changed from 2047 to 2030... 17 year difference …. Interesting caught me by surprise …I'm going to
start checking at least twice a year for changes.
He is eligible for a parole suitability hearing under the Elderly Parole Program once he is at the age 60 and
because he has been incarcerated for 25 years.
Many don’t to register …. thinking there perpetrator is never going to be released, but with so many new laws,
I recommend you register to be contacted. I was able to update my contact information online.
E-mail me your outcome of your court process, status of your case or upcoming events, and I will post on our
newsletter.
Thoughtfully,
Rose FFMV Executive Board
Rose Madsen – Chair, Mother of Jennifer LeAnne Balber
Dawn Hall– Vice Chair, Mother of Joshua Rexford
Rita Marin – Secretary, Aunt of Jennifer LeAnne Balber
Bertha Flores – Treasurer, Mother of Kristopher Flores
FFMV is a non-profit organization dedicated to serving survivors of murder victims & victims of attempted murder. Our main purpose is
to offer grief support for those victim/survivors. All assistance provided to victims is given free of charge by volunteers. Contributions
and/or questions regarding the policies of FFMV may be addressed to: FFMV Executive Board at P.O. Box 11222 San Bernardino, Ca.
92423-1222, e-mailed to mail4fffmv@yahoo.com or phoned to 909-754-6969
FFMV is a tax-exempt organization under the Section 501 (c) (3) of the Internal Revenue Service.
Our Organization depends largely upon private donations which will cover operational expenses, Our Annual Family
Christmas Memorial Luncheon, and Our Annual Victims’ Rights Week Memorial. We are seeking a sponsor (s) for our events.
Please contact FFMV at the above e-mail or phone if you are interested. Tax ID #68-0299211 All Contributions
Are Tax Deductible
Keep continued prayers for families that are in the court process
getting JUSTICE they Deserve!!
And for families dealing with the injustice of UNSOLVED Murders!

14. RSVP must be received by November 30, 2017
FFMV will provide desserts and beverage
~We ask that you please bring a main dish, salad or side dish to share ~
(Enough to feed your party plus 5)
~ Bring your Loved Ones picture/shoes to display on our Memorial Table ~
~ Each family will receive a special ornament in Memory of their Loved One ~
~ Our Loved Ones Slide Show Presentation (send your picture if we don’t have one on file) ~
~ We will have an ornament gift exchange for adults and teens 13yrs and up.
If you would like to participate, please bring a wrapped ornament.
($5min, it can be a store bought or if you are crafty, you can make one) ~
*We are in need of additional donations. If you are interested in donating a toy, book, or gift card for kids, or if you know of a business
that would like to help sponsor his memorial please call and leave a message at.
If you would like to sponsor centerpieces or ornaments in memory of your loved contact.
We will be accepting donations thru November 30, 2017, so we can finalize event.
Rose @ (909)754-6969 or e-mail mail4ffmv@yahoo.com with your interest or questions.
Completed RSVP MUST be received by November 30. 2017
(sorry no exceptions especially if immediate children of loved one will be attending)
FFMV ~ P.O. Box 11222 ~ San Bernardino, CA ~ 92423-1222 or mail4ffmv@yahoo.com
NOTE: Lunch will be served promptly from: 2:30PM – 3:30PM
Ornament hanging/Candlelighting3:30PM - 4:30PM …..Ornament gift exchange 4:30PM - 5:00PM
-------------------------------------------------------------------------------------------------------------------------------------------------------
( ) Enclosed is my loved ones picture ( ) I will e-mail my loved ones picture ( ) Use my loved ones picture that you have on file
PLEASE PRINT: Your loved ones DOB_________________________ DOD _______________________
Loved Ones First Name________________________ Last Name____________________________________
Your Name: ______________________________________________________________________________
Address____________________________________________________________________________________
City/Zip___________________________ Your Contact phone # with area code: ( ) _______________________
Email_______________________________________________________________________________________
# of adults ______________ # of teens 13-17yrs. old ____________ # of children (0-12yrs) ______________
List Boys 0-17yrs: First and Last Name & Age: _______________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
List Girls 0-17yrs: First and Last Name and Age: _______________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
____________________________________________________________________________________________

15. 2018 Participant /Photo Release Form for slide show & picture boards
Families & Friends of Murder Victims, INC (FFMV)
Circle one: New Participant ~ Update my information ~ Agency/Non Victim
Please Print
Date________________ Relationship to Victim_______________________
Victim’s First Name______________________________________________
Victim’s Last Name______________________________________________
Date of Birth _____________ Date of Death__________ Solved: Yes ( ) No ( )
Was this a DUI Yes ( ) No ( ) Was this Domestic Violence Yes ( ) No ( )
Permission to use photo(s): Yes ( ) No ( ) Just add me to e-mail/mailing list to receive
monthly newsletter and event information
I grant to Families & Friends of Murder Victims, Inc. (FFMV), the right to use photograph(s) of
the above-identified subject. I authorize FFMV to use and publish the same in print and/or
electronically.
I agree that FFMV may use such photographs with or without his/her name and for any lawful
purpose, including for example such purposes as publicity, illustration, advertising, and Web
content.
I have read and understand the above.
Signature_________________________________________________________
Print Full Name _______________________________________________________
Print Last Name ______________________________________________________
Address_____________________________________________________________
City_________________________________________________________________
Zip Code _______________Contact Phone(s) with area code____________________
E-mail ____________________________________________________________
Mail or e-mail participant/release form to: mail4ffmv@yahoo.com
~ FFMV ~ P.O.Box 11222 San Bernardino, CA ~ 92423-1222
I have included a picture ( ) Yes ( ) No use the one on file

16. FFMV
FORMA DE PERMISO
2018 Participante / Formulario de Autorización para la presentación de diapositivas de
fotos y fotos juntas
Fecha: _____________ Relación con la víctima: ____________________________________
El Primer nombre de la victima: ____________________________________________
El Apellido de la victima: ________________________________________________
Fecha de nacimiento_________ Fecha de la muerte__________ Solucionado: Si ( ) No ( )
¿Fue esto un DUI: Si ( ) No ( ) ¿Fue esta violencia doméstica: Si ( ) No ( )
Permiso para usar la foto (s): Si ( ) No ( ) Sólo me agregar a la lista e-mail/mailing para recibir el
boletín mensual, información de eventos
Concedo a las FAMILIAS Y AMIGOS DE VICTIMAS DE HOMICIDIO, INC. (FFMV)
el derecho a usar la fotografía (s) del sujeto identificado anteriormente. Autorizo FFMV a utilizar y
publicar el mismo en forma impresa y / o electrónica.
Estoy de acuerdo en que FFMV podrá utilizar dichas fotografías con o sin su su / nombre y para
cualquier propósito legal, incluyendo, por ejemplo, con fines tales como la publicidad, la ilustración, el
contenido publicitario y web.
He leído y entendido lo anterior.
Firma: ______________________________________________________________
Nombre en letra imprenta: ________________________________________________
Direccion: ____________________________________________________________
Ciudad: ____________________________ Estado: __________ Codigo postal: ____________
Telefono: (_____) _____-________ Celular: (_____) _______________________
e-mail: ___________________________________________________________________
Envíe por correo participante / formulario de divulgación para
FFMV ~ PO Box 11222 San Bernardino, CA 92423-1222