Skráning á námskeið fyrir börn og ungmenni sem misst hafa ástvin
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Nafn barns/ungmennis *
Aldur barns/ungmennis *
Nafn foreldris/forráðamanns *
Netfang foreldris/forráðamanns *
Símanúmer foreldris/forráðamanns *
Hvaða ástvin missti barnið/ungmennið ? *
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