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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.
Young adults and youth will be able to attend with their parent(s) and will have their own breakout discussion groups.
Date: October 2 - December 8, @ 11:30AM -12:30PM
Age group: Grades 4-12
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Classes Begin August 28 · 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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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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