Grief Share Participant Registration

Weekly on Mondays @ 630p (EST) | Please complete this form to register for our current Greif Share cycle running September 14, 2026 - December 7, 2026.

What Is Grief Share?

A GriefShare support group is a safe, welcoming place where people understand the difficult emotions of grief. Through this 13-week group, you’ll discover what to expect in the days ahead and what’s “normal” in grief. Since there are no neat, orderly stages of grief, you’ll learn helpful ways of coping with grief, in all its unpredictability—and gain solid support each step of the way.

Registrant Information

Name

Date of Birth

This address will receive a confirmation email

Address

If mailing address is different, please provide

Home Phone

Cell Phone

Are you registering as an Individual or for yourself and your family?

Please select one option.

Individual Registrant +1 Registrant +2 or more

If registering as a family unit, please list names of all participants. Please note, each person will need to register individually using the link below, to ensure each person receives access to resources and materials necessary for the journey through the program.

Please register by clicking here!

Availability

Are you available to attend each of the weekly sessions (Mondays @630p) through December 7, 2026?

Please select one option.

Yes No I can attend most of the sessions

Emergency Contact

Emergency Contact Phone

Communication Preference

Preferred Method of Communication

Please select one option.

Text Phone Call Email Text & Email ONLY Any of the above methods are fine

Additional Comments

Order Session Workbook $25

Payment

($25) Pay Using (cash app) @ $SG1CHURCH - please note on memo (0) Pay Using Givelify @ Shady Grove #1 PbChurch (0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Weekly on Mondays @ 630p (EST)

Please complete this form to register for our current Greif Share cycle running September 14, 2026 - December 7, 2026.

Grief Share Participant Registration

Description

Please Fix the Following