Grief Group

Grief Group
This is a free group, facilitate a place for youth, ages 12-18, to create relationships; receive empathy and validation; and participate in activities and conversation that support emotional processing and coping.

For: Open to ages 12 - 18 (High School Seniors)

Dates: Thursdays - We will notify you when next group starts.

Time: 7:00 - 8:00 pm

Located at grove Park Building; 1750 W. Front Street, Boise
Parent /Guardian Name *

First NameLast Name
Participant's Name*

First NameLast Name
Participant Date of Birth *

MonthDayYear
Date
Are you currently a Children's Home client?*

YesNo
If yes, who is the participant's Children's Home Counselor?
Email*
example@example.com
Phone Number*

Area CodePhone Number
*

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Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Insurance?

PrivateMedicaidNoneNone, but interested in learning about sliding scale program
If you have insurance, please provide carrier name, group and/or ID number
How did you hear about this group?*

Social Media (Facebook, Instagram, LinkedIn, Twitter)Enewsletter/Eblast from WSCCWord of MouthOnline AdWSSC CounselorOther
Questions/Comments
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