Connected: A Moment for Bereaved Moms
Thank you for your interest in joining Connected: A Moment for Bereaved Moms. This event is hosted in partnership by Colorado, Florida, Illinois, Louisiana, Minnesota, Ohio, Oklahoma and Tennessee, Texas, and Wisconsin state chapters of Conquering CHD.

Please complete the form below to RSVP to virtual the event on Sunday, May 16th at 3pm ET/ 2pm CT / 1pm MT / 12pm noon PT.

Please RSVP by Sunday, May 9th in order for us to properly honor your loved one in our guided remembrance. If you RSVP after this date, we would love to see you, but we may not be able to update the presentation.
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What is your first and last name? *
What is your email address? *
What is your loved one's name? *
Would you be interested in sending us a photo for a memorial slideshow? If yes, please email cdeaton@conqueringchd.org with your loved one's name and photo.
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Are you currently connected with a Conquering CHD chapter? *
If you answered yes to the question above, which chapter are you connected with?
In which state are you located? *
Would you be interested in learning more about Conquering CHD and being connected with a local chapter (where applicable) if you are not currently connected to one? *
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