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1996 Eastman Ave., Ste. 101
Ventura, CA 93003
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Grief & Bereavement
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Grief Support Registration Form
Name
(Required)
First
Last
Phone
(Required)
(###) ###-####
Email
(Required)
Please Select Grief Support Group
(Required)
Bereaved Parents
Caregiver Support Group
General Bereavement - Mondays (In-Person)
General Bereavement - Tuesdays (In-Person)
General Bereavement - Wednesdays
Spanish General Bereavement - Tuesdays
Survivors of Suicide Loss Grief Support
Loss of Spouse or Partner
Loss of Spouse or Partner (60+)
Adult Loss of Sibling - Close Ended Class
Healing Grief Through Art - Close Ended Class
Healing Grief Through Yoga - Close Ended Class
Men's Grief Group - Close Ended Class
Infant or Pregnancy Loss - Close Ended Class
Good Grief Club (Teens) - Close Ended Class
Good Grief Club (7-12) - Close Ended Class
Healing Grief Through Cinema (Adults)
Loss Due to Accidental Overdose
Loss of an Adult Child
How Did You Learn About Our Grief Groups?
(Required)
Newspaper/Magazine
Social Media
Online Calendar/Publication
Friends/Family
