What We Do

Family Registration

Family Grief Support Group 

The 10-week Family Grief Support Group is for families with youth ages 4 through 18. This is a closed group, which means new families may join only through October 11. This creates trust and comfort between group participants and volunteer facilitators.

Late Fall Group

Day: Tuesdays
Dates: October 4, 11, 25, November 1, 8, 15, 22, 29, December 6, 13
Dinner Time: 6 to 6:30 p.m.
Group Time: 6:30 to 8 p.m.
Frequency: 10 weekly sessions
Location: Mourning Hope Grief Center

There is no cost to attend group, but families are asked to make a commitment to attend all 10 sessions. An (optional) dinner will be provided for participants from 6 to 6:30 p.m. To register, please complete the form below.


Family Grief Support Group Registration Form

First Youth Attending
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Youth's School
Youth's Grade
Youth's Age
Youth's Gender
Second Youth Attending
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Youth's School
Youth's Grade
Youth's Age
Youth's Gender
Third Youth Attending
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Youth's School
Youth's Grade
Youth's Age
Youth's Gender
Fourth Youth Attending
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Youth's School
Youth's Grade
Youth's Age
Youth's Gender
Fifth Youth Attending
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Youth's School
Youth's Grade
Youth's Age
Youth's Gender
Sixth Youth Attending
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Youth's School
Youth's Grade
Youth's Age
Youth's Gender
Name(s) of Parent/Guardian/Caregiver(s) participating
Country
Address Line 1 *
Address Line 2
City *
State/Province *
Postal Code *
Cell Phone
Parent/Guardian/Caregiver(s) Employer(s)
Preferred method of contact:
Registering for:
Is English the primary language spoken in the home?
Name of person who died
Circumstances of death
Have you attended the Family Grief Support Group before?
Other changes in your lives
Reason(s) family would like to participate in a support group
Does anyone in the family have a fear of and/or allergy to dogs?
There is a therapy/comfort dog present at most group sessions.
Any food allergies and/or dietary restrictions for participants?
If "Yes" please describe. If "No" write N/A.
i.e. Peanuts, dairy-free, gluten-free, vegetarian, vegan, etc.
Reaction to the loss
Please check any behaviors your child(ren)/teen(s) has/have exhibited since experiencing the death:

Funding agencies often require nonprofit organizations to maintain client information related to gender, race, age and income level. The requested information is strictly for the purpose of Mourning Hope's compliance with these record-keeping requirements. Responses will remain anonymous, and are greatly appreciated.

Age of Participant(s)
Please check all that apply:
Race of Participant(s)
Please check all that apply:

Age of Participating Caregiver(s)

Caregiver #1
Caregiver #2 (if applicable)
My Child Receives Free/Reduced Lunch at School
By typing your name in the signature box, you are giving consent to participate. You will receive a separate consent form to complete related to online support groups. The term "electronic signature" means a method of signing an electronic message that identifies and authenticates a particular person as the source of the electronic message; and indicates such person's approval of the information contained in the electronic message.