Three Little Birds Nest email membership registration

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Please complete the details below to add yourself to our membership program. This will give you access via email and social media for our virtual and in-person groups, signature events and giveaways. You will receive an email within 48 hours of your registration and the most recent monthly newsletter. If you do not see an email from us, please check your spam folder and mark our email as "safe".

We are so sorry we are meeting this way, but please know, you are joining a nest of support of others locally who are walking similar journeys that want you to know that you are not alone. We provide a diverse offering of support virtually, in-person, specialty groups, free access to mental health professionals.

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PLEASE NOTE:

Residency restrictions: We are volunteer run and donation based. At this time, our capacity to support our mission is for families in the Philadelphia/South Jersey metro region. We are unable to accommodate families outside the following areas: Southern NJ (Atlantic, Burlington, Cape May, Camden, Cumberland, Gloucester & Salem Counties), the City of Philadelphia and PA (Montgomery, Bucks and Delaware Counties).

Email *

Registration status:
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I'd like to register as a loss parent

I'd like as a volunteer

I'd like to register as both

Required

First and last name
*

Name (first and last name) of co-member (partner/parent/support person). There is no need for loss couples to register separately. Add their email address if they would also like to receive our newsletters and information.
*

Please provide the name/s of your baby/ies and their birth dates below.
*

Please provide your street address, city, state and zip.

Please note - At this time, we can only grant membership to our nest (for support groups and events) to families residing in our service region (southern NJ, Philadelphia and the tri-county metro region). Addresses will be verified and confirmed. Thank you for understanding.

Specific support I/we are interested in:
*

General grief support

Infertility support

Pregnancy/parenting after loss support

Dad/non-birthing parent support

Personal consultation for grief support with a bereavement doula

Spiritual reading

Starting a legacy project

Signature events (Bereaved Mother's/Father's Day, Wave of Light, etc.)

Virtual content in our closed Facebook Group

Volunteering my time

Other:

Required

Are you a currently a member of our Mama Bird Healing Support Nest on Facebook?
*

Yes

I am not on social media

Required

Attendance policy - Events at our office or off-site have capacity limitations. We ask if you are unable to attend after registering for an event you let us know ASAP. If we are close to capacity, we can offer the space to someone else. Multiple registrations with no call/no shows will be put on the wait list in the future.
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I understand

Other:

Required

If you do not see a response from us within 24 hours, please check your spam folder. Sometimes we wind up there. Be sure to mark it as "safe" and it should appear in your inbox.
*

Got it

Other:

Required

Do you have any questions/comments or specific needs we can help you with?
*

Submit

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