White Salmon Grief Circle Registration
Please sign up here to participate in the Sept/Oct White Salmon Grief Circle. These circles will be four Tuesday evenings starting the Sept 15th through Oct 6th at Bethel Church in White Salmon.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What brings you to grief circles? or ... What griefs are your carrying that long to be witnessed and held?
Have you ever attended a grief circle before? If yes, please provide some information about the style of circle. If no, it's okay too! I just like to know the scope of who is attending.
Do you have a support system outside of the grief circle? Please share a little bit about your supports. Grief circles can bring up a lot of emotion and sometimes unexpected grief. It helps to have support in place to integrate. This may include friends, family/chosen family, mentors, therapists, acupuncturists, grief tenders, etc.
Do you have any accessibility needs?
Is there anything else you'd like us to know?
Participation is limited to eight participants. If this circle is full, would you like to be contacted about future circles?
Please Select
Yes
No
Attendance at all four sessions isn't required but is encouraged. I can make it to the following sessions:
Tuesday Sept 15th 5:30-6:45 PM
Tuesday Sept 22nd 5:30-6:45 PM
Tuesday Sept 29th 5:30-6:45 PM
Tuesday Oct 6th 5:30-6:45 PM
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