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GriefShare Sign Up
There is a $15 fee for materials.
As a part of Bethlehem’s Support Group Ministries, all participants are strongly encouraged to engage in one pastoral counseling session.
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Classes Begin January 15 · 10AM · Virtual Meeting via Zoom
First Name
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Last Name
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Address
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City
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State
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Zip Code
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Preferred Phone Number
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Email Address
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Number of People Attending
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Your loss - who was it? (husband, wife, son, daughter, mother, father, etc.)
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Date of loss
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DD
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YYYY
Emergency Contact Full Name
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Emergency Contact Phone Number
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Does Bethlehem Assembly of God - GriefShare Support Group have permission to take your picture or use recorded video of your grief journey for promotional purposes as a testimony for others?
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Bethlehem Assembly of God is attempting to do a better job at tracking those who participate in our programs such as GriefShare. By agreeing below, you grant permission for us to enter the pertinent information on your and/or your child(ren) into our database. This information will not be released or sold to anyone. It is being requested simply for tracking of participants in our programs
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I understand that Bethlehem Assembly of God GriefShare is not a clinical, therapeutic or mental health program but a Biblical based Christ Centered Program to help deal with loss in a group setting.
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