Pregnancy and Infant Loss Support Circle

Please note: The group will not be meeting at Roots in October. October 15th is the Global Wave of Light. Please join us at the Children's Memorial Garden (located off of Tamarack next to the BMX track) at 6:30 to light a candle at 7pm for those lost. We will resume the support group in October.

Grief and loss, at any stage, can be isolating. But you are not alone. Our support groups are here for you to connect with others in a safe and welcoming space. We are so honored to be a part of your journey.

Thank you for taking the time to nurture yourself by attending our Pregnancy and Infant Loss Support Circle. Please fill out the form below as it helps our organization.

Contact Information

Name *

First Name

Last Name

Email *

Verify Email *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Phone *

Loss Support Circle meets on the second Monday of each month. Please let us know which dates you will be joining. *

Dec 9

Jan 13

Feb 10

March 10

April 14

May 12

Is this your first time at Loss Support Circle?

Yes

What factors motivated you to join our Loss Support Circle?

I am looking for resources

I want to be part of a group

My partner encouraged me to come

My provider encouraged me to come

My mental and emotional health are important to me

I don't really know

How did you hear about our Loss Support Circle?

My doctor

My therapist

A friend

Social Media

Montana Parent- Resource Guide

Other

Anything else you would like us to know about your experience before joining?

Waiver of Liability *

This waiver of liability includes any risk of attending groups, engaging in Zoom sessions, telephone calls, emails, or attending any events, workshops or other services provided by Roots Family Collaborative. Attending a group or otherwise aforementioned service is not a substitute for professional mental health care or medical care and is not intended to diagnose, treat, or cure me. I am fully aware and understand that my volunteer support group facilitator is not acting as a mental health professional or medical professional. I understand and agree that I am responsible for what I share in the group setting. I understand the group setting is intended to be a confidential space and I am aware if thoughts of harm to self or others is brought forward in the group, my facilitator will take necessary actions with limited confidentiality. By clicking the box below, I agree to the above and hereby release, waive, acquit, and forever discharge my facilitators and Roots Family Collaborative.

I agree

Help Support More Families in Our Community!

Roots Family Collaborative is a 501(c)(3) non profit organization and relies on donations to provide essential programming to our community. Any gift you make is tax deductible.

$10

$20

Donation Schedule

Add 3% to my total amount to help cover the payment processing fees