Pregnancy and Infant Loss Awareness Month-Memorial Garden Dedication RSVP Form

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Helping Hands Psychotherapy invites you to the Pregnancy and Infant Loss Awareness Month Memorial Garden Dedication Ceremony on October 29, 2023 from 1:00-3:00pm at The Holding Space - 4175 Iris Place, Bethpage NY 11714. For any questions or concerns, please call (516)442-1116. We look forward to seeing you there.

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Guest name(s)

Total number of guests

Number of guests under the age of 12

We would like to honor your experience in a meaningful way. If there is a pregnancy or infant you would like mentioned at our service, please let us know below.

How did you hear about this event?

Helping Hands Psychotherapy (HHP) webpage

Helping Hands Psychotherapy email

Social media

Postpartum Resource Center of New York

Recommended by a friend, colleague, etc.

My therapist at HHP

My provider outside of HHP

Other:

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How are you connected to Pregnancy and Infant Loss Awareness Month?

I have experienced pregnancy and infant loss

A loved one has experienced pregnancy and infant loss

I am a professional working with people who have experienced pregnancy and infant loss

Other:

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Is there anything you would like to share related to Pregnancy and Infant Loss Awareness Month?

A copy of your responses will be emailed to the address you provided.

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