Registration

Welcome to the registration page for the My Child, Always Program

Please fill out the form accurately and clearly to register for the My Child, Always program.

Full name

Last Name

Current Age:

Home Address:

Email address

Preferred Contact Number:

Gender:

Do you have medical insurance (SZV or private)?

Age:

At what stage did your child pass away?

When did their death occur? (d/m/y)

What was the cause of their death?

What are your coping mechanisms as you navigate this grief?

What do you hope to gain from attending these sessions?

Once you register and are accepted into the program you will have to commit to the scheduled session days. Fathers meet on Tuesdays, mothers meet on Wednesdays, and joint groups on Thursdays. The sessions are scheduled for every 2 weeks from 6:30-8:30 pm. Failure to attend two or more sessions without it being an emergency would result in you being withdrawn from the program. Your information will be kept confidential and not shared with any third parties.

Please know, that Kingdom Courtyard is a safe space for your healing and support.

Thank you! Your submission has been received!

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