2025 Bereaved Mother’s Day Program Application Sign Up

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Bereaved Mother’s Spa Day Program is a free program that Bo’s Heavenly Clubhouse offers to our bereaved mothers.

You are eligible for this free opportunity if you have suffered the death of your child(ren) through miscarriage all the way through their adulthood. Child loss affects all ages. We encourage you to fill out the application if you are a bereaved mother.

Tuesday, May 2025 (date TBD) is our bereaved Mother’s Day service opportunity.

Please understand that our programs have waiting lists due to the overwhelming need and you will be contacted when your name is pulled.

This application is ONLY if you want the opportunity to be considered but it does not hold a spot for our event.

These Mother’s Day events will be scheduled before Mother’s Day, and typically around Bereaved Mother’s Day.

This event is an entire day, dedicated to making YOU feel seen, special, pampered, relaxed and valued. We encourage you to stay the day and enjoy fellowship, refreshments, and gifts that we can put in your hand.

If you have multiple children in Heaven, please write them all below.

Please note- if you have already participated in our Mother’s Day Program in passed years- then we will be cycling through the entire current waiting list until we return to families that have already been served. But we still encourage you to apply again!

If you are not currently involved in our programs this does not disqualify you however, we do like to acknowledge those who take part in our current programming first to have the opportunity.

If interested- we invite you to comment your ideas with other mothers events.

We hope to mostly stick with spa like activities but if there’s something else that you would specifically recommend or love to see as a Mother’s Day service, feel free to leave that in the comment section below. All ideas will be brought to the Board of Directors and voted on accordingly.

Email *

What is your first & last name? *

What is your FULL mailing address? CITY AND ZIP CODE INCLUDED! *

What is your child’s first and last name AND the date that they passed away? *

Do you have any other children in Heaven? If so, What is your second (and beyond) child’s first and last name AND the date that they passed away? (If no, write “N/A” *

Are you currently or plan to be involved in any of our current free programs?

Yes: Child Loss Support Groups

Yes: Children’s Grief Groups

Yes: Care Package Recipient

Yes: Funeral Expenses

Aside from a spa day, do you have any other ideas that you would like to see implemented to our Mother’s Day Programs? *

Do you understand that failure to show up to the event that you signed up for will lead to disqualification from further opportunities in the future? *

Yes

If you’ve never utilized our services before, are you interested in speaking to someone about our other programs?
*

Yes please

No thank you

Have you ever attended a Mother’s Spa Day before?
*

Yes

If you’ve ever attended our Moms Event Program, how many times did you receive services?

One time

Two times

three times

four or more

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