Bereaved Mom Support Group Registration

First Name

Last Name

Email Address

Phone

Select your session (choose only one)

Session 1: 9:00 - 10:30 am

Session 2: 11:00 - 12:30 pm

Session 3: 1:30 - 3:00 pm

Name of your child who passed away

Child care will be provided for siblings ages 5 and up. If you will need childcare, please list name(s) and age(s)

Thank you for registering! We will be in touch by e-mail with additional details.

CureFest for Childhood Cancer

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© 2024 CureFest for Childhood Cancer / Arms Wide Open Childhood Cancer Foundation

CureFest for Childhood Cancer is hosted by the Arms Wide Open Childhood Cancer Foundation.Non-profit Tax ID: 27-0811733.

info@curefestusa.org - Virginia office: 10311 Beaumont St., Fairfax, VA 22030

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