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Grief Support Group Pre-Registration
5-week support group for those who have experienced loss through death
Cost: $250 ($200 if registered by June 1st)
Agape Christian Counseling
2124 Crown Centre Dr, Suite 400
Charlotte, NC 28227
Contact us at (704) 849-0144 or
office@ncagape.org
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Date of Birth
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Where did you hear about this group?
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What goals are you hoping to achieve by joining this group?
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What would be helpful for us to know about your loss? (ie. when the death occurred? relationship to the deceased?, etc.)
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Tell us how you are currently coping.
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I understand that this is not the official registration and I will be called by Tammy Weitzman, LCSW or Christian Calo, LCMHCA Intern to discuss being added to the Support Group.
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