One moment please...

Pregnancy and Infant Loss Support Circle

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 us plan for and keep our groups safe.

Contact Information

Name

First Name

Last Name

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.

January 8

February 12

March 11

April 8

May 13

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

Other

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

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