Skip to content
About
Our Story
Our Team
Programs
Zisel’s Links
Shlomie’s Club
Little Pearls
Legally Links
Resources
Contact
Menu
About
Our Story
Our Team
Programs
Zisel’s Links
Shlomie’s Club
Little Pearls
Legally Links
Resources
Contact
Donate Now
Support Group Registration Fall/Winter 2024-2025
Name
(Required)
First
Last
Phone
(Required)
SMS Capable?
(Required)
Yes
No
Email
(Required)
DOB
(Required)
MM slash DD slash YYYY
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Have you previously attended one of our support groups?
(Required)
Yes
No
We give priority to new attendees but if we have room, we'll consider previous attendees
Which group did you attend?
(Required)
Please select the group you'd like to join.
(Required)
(In-person, Brooklyn: Girls in grade 1-5) Utilizing art to process grief after the loss of a parent (Tues. @8 p.m. EST)
(Zoom: Bachurim 15-21) Parental loss due to unnatural causes (Wed. @8 pm EST)
(Zoom: Women 23-30) Recent loss of a mother (Tues. @8pm EST)
(Zoom: Women 23-30) Recent loss of a father (Tues. @8:30pm EST)
(Zoom: Women 30-40) Recent loss of a father (Sun. @8pm EST))
(Zoom: Women within 1st year of marriage) Navigating shanah rishonah after losing a parent (Mon. @1pm EST)
(Zoom: Women 25-40) Healing from a complicated relationship with the deceased (Tues. @8pm EST)
(Zoom: Women 20-30) Loss of both parents (Tues. @8:30pm EST)
(Zoom: Women 30-40) Loss of both parents (Thurs. @11am EST)
(Zoom: Women 30-45) Delayed grief: losing a parent under 18 and processing now (Wed. @9:30am EST)
(Zoom: Women within 1-5 years of remarriage) Remarried mothers raising children who lost a parent (Thurs. @8:30pm EST)
(Zoom: Men 22-30) Recent loss of a parent (Thurs. @7:30pm EST)
(Zoom: Men 30-40) Recent loss of a parent (Thurs. @7:30pm EST)
(Zoom: Men with at least one child under 18) Fathers who recently lost a spouse (Mon. @8pm EST)
(Zoom: Men within 1-5 years of remarriage) Remarried father raising children who lost a parent (Thurs. @8:30pm EST)
(In-person, Bklyn: Women 23-30) Recent loss of a parent (Mon. @12:30pm EST)
(In-person, Bklyn: Women 30-40) Recent loss of a parent (Thurs. @10am EST)
(In-person, Bklyn: Women 25-40) Healing from a difficult relationship with the deceased (Monday @10:30am EST)
(In-person, Bklyn: Women 41-55) Utilizing art to process grief after the loss of a parent (Tues. @8:30pm EST)
(In-person, Lkwd: Women 23-30) Recent loss of a parent (Wed. @8:15pm EST)
(In-person, Lkwd: Women 30-40) Recent loss of a parent (Mon. @8:15pm EST)
(In-person, Lkwd: Women 40-55) Recent loss of a parent (Wed. @8:45pm EST) *1x per month)
(In-person, Lkwd: Women 30-45) Delayed grief: losing a parent under 18 and processing now (Mon. @8:15pm EST)
(In-person, Lkwd: Bachurim 20-28) Loss of a parent (Wed. @10pm EST)
(In-person, Lkwd: Men with at least one child under 18) Fathers who recently lost a spouse (Mon. @8:15pm EST)
What do you hope to gain from the group?
Are you in therapy?
Yes
No
I prefer not to share
Some groups bring up a lot and we want to build the best safety plan
The identity of all group members and conversations within the group must be kept confidential
(Required)
I agree
For the benefit of the cohesiveness of the group, you may only miss two sessions
(Required)
I agree
Refer a Family
Family Name
(Required)
Family City
(Required)
Parent Lost
(Required)
Name of Surviving Parent
Name of Referrer
First
Last
Phone Number of Referrer
Email of Referrer
(Required)
CAPTCHA