HALOS FEBRUARY VIRTUAL SUPPORT SESSION REGISTRATION
By submitting this form, you are registering for Halos February Bereaved Parents Support Session. Each session is held with a maximum of 6 parents and minimum of 2.
*Because Halos of the St. Croix Valley covering the cost of these sessions, your attendance is required. If for some reason you are unable to attend, you must notify us by Friday at noon, (February 7th), by Text: 1-866-411-4256 or Email:
Each box below must be checked stating you have read, understand and agree to all of the following rules:
If for some reason I am unable to attend the meeting, I must cancel by noon, the Friday prior to the meeting.
Everything said during a session is confidential.
If I do not attend the session and do not notify Halos by noon on the Friday prior to the session, I will not be allowed to join a session in the future.
I understand that if I have not participated in these sessions before, that I must sign a Consent to participate in the Bereaved Parent Support Sessions
Please select which meeting you would like to participate in:
Bereaved Parents Session - Monday, February 10th
Cell Phone Number where we can send a text alert:
SIGNED CONSENT FORM
All attendees must sign a consent form prior to them participating in their initial session. You will receive this at the email provided below. You will not have to sign the form for consecutive sessions.
*The consent form must be signed and sent back to halos prior to joining your initial support session
Email Address you'd like the meeting link sent to:
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