School Bereavement Materials Request Form
The booklets are provided FREE of charge! The Hospice & Palliative Care Foundation is 100% funded by grants and donations. Even donating $5.00 to cover the cost of postage helps! You can donate online by visiting www.hpcfoundation.org/online and choosing the Education Fund.

We have two booklets available to you:

"Heart Shaped Pickles" and "When Teens are Grieving"

"Heart Shaped Pickles" - This elementary school age bereavement resource is based on a true story. When Jenny's grandpas both pass away within weeks of each other, her connections to them continues through her discover of different heart shaped items all around her. The illustrations invite children to color, encouraging creativity. The book includes a discussion guide along with "8 Things Children Can Teach Grownups About Grief."

"When Teens are Grieving" - This booklet is based on the award winning book, Weird is Normal When Teenager Grieve. This unique book shares teen author, Jenny Wheeler's grief story and validates for teens that they have the right to grieve in their own way. Professional insights are provided throughout by specialists in grief support.

Both books are available to school & community professionals, as a free resource, who interact directly with youth who have experienced a loss. Please complete this form to request books for yourself and others at your school.

***** You are allowed to request 10 copies of each book per order. If you require more than 10 copies at a time please contact us at info@hpcfoundation.org or by calling 855-219-1648.

Once you have utilized your 10 copies in your community, please feel free to come back and make a request for additional copies.
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First Name *
Last Name *
Email Address *
Would you like to sign up for our enewsletter? *
County You School Resides In *
Name of School You Work For *
Mailing Address *
(ie: 123 ABC Street) for the school/district name you entered above
City *
ie: Spartanburg
State *
Zip Code *
Which booklet(s) are you requesting *
Required
How many copies of "Heart Shaped Pickles" *
How many copies of "When Teens are Grieving" *
How many Spanish Copies of "Heart Shaped Pickles" are you requesting?
The number of Spanish copies will be subtracted from your total number of books requested.
How many Spanish copies of "When Teens are Grieving" are you requesting?
The number of Spanish copies will be subtracted from your total number of books requested.
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