Bereaved Moms Night Out 2026

Bereaved Mom's Night Out Registration
Bereaved moms are invited to join us for this special evening to share our children and our stories over high tea, finger sandwiches, and sweets. We will have a memorial activity and prayer. Please bring a photograph of your child.
Name

First NameLast Name
Email
example@example.com
Name of child(ren) you will be honoring:
Would you like to receive our monthly e-newsletters?
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dietary Restrictions:
If payment is an issue please email mycah@starlightmin.org

Bereaved Moms Night Out Attendee

$25.00

Enter coupon

Total

High Tea Grand Rapids is located at 1522 Wealthy St SE, Grand Rapids. Please indicate where you would like to meet us.
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Bereaved Mom's Night Out Registration