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Winter Blues Bereavement Luncheon

Join us on 1/20 from 12-3pm for our 2nd annual Winter Blues Bereavement Lunch for families that have lost a child to cancer and other chronic illnesses. We will be hosting families at The Press Room in Portsmouth, NH for a delicious lunch and thoughtful arts and crafts. Childcare will be available on the bottom floor, parents can connect on the second floor. If the weather is nice, we'll take a post-lunch walk to Prescott Park. There will be a limit on how many families we can accept, so sign up soon and let us know right away if you have to cancel. Hope to see you there!

Contact Information

Applicant Parent/Guardian Name

First Name

Last Name

Contact Email

Verify Email

Phone

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Please list all family members attending and the childrens' ages:

Please list any food allergies and who in the family has them:

Child that died:

First Name

Last Name

Child that died birthdate:

(mm/dd/yyyy)

Their date of death:

(mm/dd/yyyy)

Diagnosis

*If you had a second child that died, please share their name, dates, and diagnosis here.