GriefShare Sign Up
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Are you signing up anyone else in your family with you for Griefshare? If so, please list the names below.
Do you have children attending one of the following? If so, please select.
Children's Ministry (1st-5th)
Student Ministry (Youth)
No
If yes to the above, how many children?
Are you needing childcare?
Yes
No
A different form is required for childcare, please navigate back to uhbc.net/wednesdaynights after submitting this form to fill the childcare signup form out.
Submit
Should be Empty: