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When the Holidays are Hard: Helping Children Connect to Hope after a Loss
Registration Form
Please complete the form below to register for this event.
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Please choose the session you plan to attend:
(Required)
Thursday, November 7 at 6 p.m. at Hospice of the Piedmont (High Point)
Thursday, November 14 at 6 p.m. at Hospice of Randolph (Asheboro)
Number of parent(s)/guardian(s) attending:
(Required)
one parent/guardian
two parents/guardians
Name of parent(s)/guardian(s) attending:
(Required)
Name of child(ren) attending:
(Required)
Age of child(ren) attending:
(Required)