Grief Share Registration
Lutheran Church of Dell Rapids
Name of Attendee
First Name
Last Name
Email
example@example.com
Phone Number
Please enter best contact number.
Have you participated in a Grief Share group before?
Yes (see next question)
No
If yes, when and where?
Give a brief description of your loss:
Would you like a participation guide? ($15)-Payable to Lutheran Church of Dell Rapids.
Yes
No
Submit
Should be Empty: