❤️ Thank You to Mary Ann Dietrich for her donation to our chapter ❤️
************************************************************************************************
We would like to update our records~Please let us know if our information & dates are correct. Also if you would like to remain on our mailing list, and if you would like to help with chapter needs.
Tri-County Chapter The Compassionate Friends Registration / Permission form
Child’s name _________________________________ Age______
Birthdate__________________ Died_________________________
Your name______________________________________ Relationship to child________________________
Address________________________________________
Phone________________________ e-mail_________________________
Would you like to receive a copy of our local Compassionate Friends newsletter?
Yes______ No_______ please circle....e-mail copy or paper copy
I would like my child’s name included in the newsletters birthday/anniversary remembrance page. Yes No
Do you know someone who would be in need of The Compassionate Friends?
Name_______________________________________________
Address_____________________________________________