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Soaring Spirits Atlanta RSVP form
If you have completed an SSA RSVP form before you only need to answer the first five questions. If you later need to cancel please send an e-mail to atlanta (AT) soaringspirits (DOT) com.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email address
*
Your answer
Comment
Your answer
Phone (cell phone preferred in case of last minute changes.)
*
Your answer
Are you participating in the Zoom Video Chat Sat., 3/28, 11:00am - 11:40am,
https://zoom.us/j/4645317037
?
*
Yes
No
Required
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Date of Birth
Your answer
Date Widowed
Your answer
Status of Relationship to Late Spouse/Partner
Choose
Married
Engaged
Domestic Partner
Long term relationship
Other
Name of deceased life partner
Your answer
Are you a parent?
Your answer
Childrens' ages (if applicable)
Your answer
How did you hear about Soaring Spirits?
Widowed Village or the Soaring Spirits website
Direct e-mail or FB contact from the group leader
Invited personally by the group leader
Meetup.com
Another support group (hospice, Kate's Club, etc.)
Another widow group (Modern Widows Club, etc.)
A pastor or counselor
Local media (newspaper, TV, radio, etc.)
A friend or relative
Other:
Would you like to be added to the Soaring Spirits mailing list?
Yes
No
Clear selection
Would you like to receive the Artful Living After Loss newsletter via email?
Yes
No
Clear selection
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