Grief Share Registration

Register for our Grief Share Group by filling out the form below. There is a $10 fee to cover group materials.

If you have any questions about Grief Share please contact Kristi Holden at

kristi@ignitechurch.cc

Name

This address will receive a confirmation email

Phone

Address

Will you need childcare during the sessions?

Yes No

If you do need childcare please list the age(s) of your child.

Payment $10

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

September 6th - December 6th

Grief Share Registration

Description

Please Fix the Following