Workshops, Training, Activities and Grief Experiences Interest Form

First name*

Last name*

Name of your organization (if applicable)

Email*

Phone*

Population served:*

Proposed date of workshop*

Month

Day

Year

Anticipated number of attendees:*

Location of workshop:*

Type of workshop (select all that apply):*

Client, student, or community workshop

Staff/Professional development

Other (please specify)

Do you have a budget for the workshop?*

Yes

No

Unsure

If so, what is your range (total or per attendee):

What would you like to include (check all that apply):*

Art

Grief Education

Identifying Coping Skills

Grief Ritual

Identifying Emotions

Mindfulness, Breathing, Grief Yoga, or Sound Bath

Creation of a Memory Object

Is there any other information you'd like us to know?

Common Ground is a dba of Forward Endeavors - a 501(c)(3) organization

EIN: 93-4248727

(562) 548-8078

437 W. Willow St.

Long Beach, CA 90806

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