Suicide Loss Survivors - Registration Form
Thank you for registering!  Please allow for 15-20 minutes to fill out this form.  If you end up having any questions please reach out to us at 402-502-2773.  We look forward to meeting you at group. PLEASE NOTE: THIS GROUP IS FOR ADULTS AND/OR TEENS GRIEVING A DEATH BY SUICIDE and is NOT intended for suicide attempt survivors. If you are an attempt survivor looking for resources, please email us at info@thecollectiveforhope.org and we can connect you with resources.
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Have you attended one of our support groups before?
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Last support group attended: *
Estimated date of last support group attended (month and/or year is fine):
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