Virtual Support and Share Night, Tuesday Oct 3, 7:00 to 9:00pm

Attendee Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Phone:
• * Address 1:
• * City:
• * Province:
• * ZIP Code:

• * Will you be joining our grief support group after the presentation? --Choose-- Yes No

• We need this information even if you are not planning on attending a support group. This gives people the option to choose to attend after they've registered.

• * Which support group would you like to join? --Choose-- Loss by suicide Loss of child Loss of friend Loss of parent Loss of relative Loss of sibling Loss of spouse/partner
• * How did your person die? --Choose-- Accident Cancer Covid-19 Homicide Long illness MAiD Other Perinatal Substance use Sudden health Sudden non-health Suicide
• * What is your age range? We may use this information to divide larger groups --Choose-- 18 - 29 30-39 40-49 50-59 60-69 70+
• *

  Have you attended our BFO-Ottawa groups before?

  • No. this is my first time
  • Yes. I've attended previously
• *

  If you need to cancel your attendance, please reply to this email to let BFO know

  • Yes, I will let BFO know if I can no longer attend

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