Grief/Loss Recovery Support Application NAME * First Name Last Name EMAIL * FULL POSTAL ADDRESS * You will receive a book at this address prior to the start of the course Address 1 Address 2 City State/Province Zip/Postal Code Country PHONE NUMBER * SUPPORT PREFERENCES * I am interested in: Online 8 week Grief Support Group Online Accelerated (twice a week) Grief Support Group Helping Children With Loss Course Online (joining as individual) Helping Children With Loss Course (team training / pre-formed groups) In Room Helping Children With Loss Course (Spain) In Room Helping Children With Loss Course (UK) Pet Loss Online Support Group In Room Grief Support Group (currently Spain only) Private 1:1 Online Programme Alumni Programme ACCESS REQUIREMENTS Any health, vision, hearing or other access issues we need to be aware of? FEES: I wish to add a bursary donation to my course fee I wish to sponsor/fund a bursary place I will be paying the standard fee quoted I will require a bursary to participate None of the options/other* (tell us in box below) Payment Method * Invoice me at address provided Invoice employer (address in final box) Card Payment via Website To discuss during discovery call Using a Gift Voucher SUBSCRIBE TO UTCT MAILING LIST? * Yes - notifications of any new programmes and special offers Yes - but only for information relating to Grief Recovery Programmes No thank you I am already subscribed ANY QUESTIONS? ANYTHING ELSE? Thank you for your application. You can make payment now and/or book a discovery call. Any questions, email Anne-Marie: am@underthecarobtrees.com.If there is an advertised group you want to book onto, it’s adviseable to go to ‘bookings and payments’ page on the website. Payment in full or min deposit is required to reserve a place.
