For Someone Special

Dear Kids,

Suppose . . . someone told you that you are special?

Yet, sometimes you feel sad because your family changed.

Or you are angry because you have so many chores . . .

Or you feel out of place when you see friends with a Mom and Dad together . . .

Or you feel you must keep your parents happy, especially when they are sad?

Or there is some other painful loss in your family.

There is finally a time set aside just for you to get together with other kids your age and talk about what is happening in your life.

Fill out the registration form below if you would like to be a part of this specail group for all children just like you.


Name: Age: Grade:

Adress:

City: Phone:

Signature:(child)_________________________________________________________________

Signature:(Parent)________________________________________________________________

Please Check:

My parent has died

My parents are divorced

My loss is

(please explain)

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