Stronger Together | Online Cohort

Stronger Together | Online Cohort

Please indicate your interest in the six-week cohort by completing the following form.
This online support cohort is designed for women who have children who are being parented by others. What is your experience related to termination of parental rights (whether transfer of custody, parental alienation, voluntary or involuntary)? You are welcome at Bellis. Is there anything else you want us to know about you and the support you need?
If you attend virtual meetings, can you participate in a private setting, where no one else can hear the meeting?
Full Name

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Location

Street Address

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Email Address
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Contact Number
Please enter a valid phone number.
Do you agree to opt-in to receive text messages about upcoming support meetings? You may opt-out at any time by replying "STOP."

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If you or someone you know is in immediate danger, please call 911.

If you are having thoughts of suicide or self-harm, please call or text the National Suicide Prevention Lifeline at 988. When you call, text, or chat 988, you will be connected to trained counselors who will listen, provide support, and connect you to resources, if necessary.

Please note: If your message to Bellis today describes that you are worried about your own safety due to thoughts of suicide or self-harm, Bellis may contact local emergency services to check on your welfare.

Mobile Messaging Terms & Conditions:
Bellis operates a mobile messaging program subject to these Mobile Messaging Terms and Conditions.

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This Privacy Policy explains how Bellis collects, uses, and discloses personal information about our customers, prospective customers, and visitors to our website.
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