GriefShare Meadowbrook Baptist Church
Registration Form for classes beginning September 10 - December 3, 2018.
Registration Fee is $17.00 to cover the cost of the workbook.
Please send to:

Meadowbrook Baptist Church
C/0 GriefShare
1401 Colorado Ave
Rockdale, TX 76567

Office number 512-446-3367

You will be contacted by Malda Burns, Program Director.

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Address *
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Phone Number *
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Email *
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Birthday (month/day) *
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Emergency contact (name and phone number) *
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How did you hear about GriefShare? *
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Please share a little information about the person you lost and when the loss occurred. *
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