2021 Grief Resource Center Educational Webinar Registration Survey

1.Contact information:

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

2.Gender (optional):

4.I am interested in this programming as a:

Grieving individual

Professional

Student

Other (please specify)

5.I would like to register for the following program(s):

Gratitude in Grief - February 11th @ 4-5:30

The World Spins On: Keeping Your Grief Close - February 17th @ 2-3

Handling Anger & Guilt - February 22nd @ 4-5:30

Grief during COVID-19 - March 3rd @ 2:30-3:30

Mindfulness & Grief - March 23rd @ 10-11:30

S.E.L.F. Care - March 29th @ 4-5:30

Forgiveness - April 14th @ 2:30-4

Collective Grief: Grieving as a Society - April 30th @ 2-3

6.Ideas for educational workshops you would like to see in the future: