REGISTRATION - A Day Of Understanding
WHAT: Children's Grief Retreat (K-12)
Sponsored by HUGs from Cara
WHERE: 108 South St (PERC/Case Mansion
Auburn NY 13021
WHEN: Saturday March 30, 2019
TIME: 10:00-2:00 - Lunch included
DEADLINE FOR REGISTRATION: March 22, 2019
Would you like to be added to our mailing list?
What was the relationship your child had with the person who died?
It was his/her Mother
It was his/her Father
It was his/her Sibling
It was his/her Grandparent
It was another Family Member
It was his/her Friend
Date of loved ones death
Has the child had any formal counseling ?
Is the child having any specific issues related to grief? (ex: drug use, thoughts of suicide, depression, anxiety, acting out, grades dropping, etc.) Please explain.....
By entering your name below you agree to allow HUGs from Cara to use photographs, images and/or videos taken of myself or my child/children for use in materials that include, but may not be limited to, printed materials such as Brochures, Newsletters, Videos and digital images used on HUGs from Cara's Website and Social Media Pages, such as Facebook and Instagram and for our Fundraising Events to help raise awareness for grieving children.
Please enter your full name to give HUGs From Cara permission for the use of photos.
How many people (including children) will be attending the pizza luncheon/info session at 12:30? Parents, caregivers and family members are all invited.
Does the child have any medical issues we should be aware of? Please explain...
Send me a copy of my responses.
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