St. Martha Grief Program Registration
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Grief Program Dates and Times
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Please keep me informed about future offerings
Name *
Phone Number *
Email Address *
Street Address
City
State
Zip Code
Are you fully vaccinated or have your fully recovered from Covid?
Our participants are already dealing with a lot of issues.  It is important to us that we provide a safe (physical, emotional, spiritual safety) environment to help them process their grief.  We are trying to determine the best approach that will provide a safe environment for all participants in this session.
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Do you have capability to participate via Zoom on line meeting?
You can participate in zoom meetings using computers or smart phones.  We will contact you to help you determine if you have the capability to participate via Zoom if you respond "I don't know"
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Other information you would like to pass on
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