Tuesday Evening Grief Support Gathering Pre-Registration Form

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Tuesday Evening Grief Support Gathering

Madison County Public Library, Berea

Pre-Registration Form

We offer bi-monthly evening grief support on the 1st and 3rd Tuesday of each month at 5:30 p.m. at the Madison County Public Library (319 Chestnut Street, Berea).

This gathering is open to anyone who is grieving the loss of a loved one. It provides a safe, supportive space to share, listen, and connect with others who are also navigating grief.

We ask that you pre-register before attending. To do so, please complete the form below. Denise McKinney, our Grief Support Coordinator, will contact you to confirm your registration and answer any questions. If you prefer to register by phone, contact Denise at [email protected] or 859-986-1500.

We also offer a weekly Grief Support Gathering at our Compassionate Care Center in Richmond, grief support series and/or workshops in multiple locations throughout the year, an annual remembrance ceremony in December, and one-on-one support services. Visit our website to learn more.

Note: Although the pre-registration form asks if your loved one was cared for by our organization, this group is open to the community at large.

First Name*

Last Name*

Phone*

Email Address*

Was your loved one cared for by our organization?*

Yes No

Is there anything else you would like us to know?

Address, line 1*

Address, line 2

If we cared for your loved one, please tell us their name (optional).

City*

Zip Code*

We will never share your email address. Ever.

Contact Us
[email protected] 859-986-1500