What We Do

Family Registration

Family Grief Support Group (returning families)

The monthly Family Grief Support Group is for families with youth ages kindergarten through high school seniors who have experienced the death of someone significant. This is an open group specifically for families who have participated in a Mourning Hope support group in the past. Attend every month, or just when you feel you need some support.

Monthly Group

Days: Wednesday, October 20 | Thursday, November 18 | Monday, December 13
Time: 6:30 to 8 p.m. CST
Frequency: Monthly
Location: Mourning Hope Grief Center

There is no cost to participate in this group, but pre-registration is required for planning purposes. To keep participants, volunteers, staff and our community safe, all family members will be required to wear a mask, regardless of vaccination status. 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
Postal Code
Cell Phone
Home Phone
Work 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?
If "No" please do not continue with this form. The 10-week group is appropriate for new participants. Registration is available at: mourninghope.org/programs/familyfall.html
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 dogs?
There is a therapy/comfort dog present at most group sessions.
Reaction to the loss
Please check any behaviors your child(ren)/teen(s) has/have exhibited since experiencing the death:
I understand that all family members will be required to wear a mask when inside the Mourning Hope Grief Center, regardless of vaccination status.

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.