Grief Love Support Group — Registration

A space for anyone who carries a quiet question in their heart — and is ready to sit with it, together.

Thank you for your interest in joining our support group. We are glad you are here. This form helps us understand how to best support you and ensure the group is a good fit for you at this time. Your responses are kept strictly confidential.

* Indicates required question

Before You Begin

Please confirm the following *

I understand that a short call is required after registration to assess suitability for the group. I consent to my information being used to assess my suitability for joining the group. I understand that all information shared in this form and in the group sessions is kept strictly confidential, except where there is a risk of harm. I understand that participation in this group is voluntary and that I may withdraw at any time.

Session

Which session are you interested in? *

19 Sept 2026, 10am–12pmSession 1 — Who Am I Now? 24 Oct 2026, 10am–12pmSession 2 — The Dilemmas of the Hearts 21 Nov 2026, 10am–12pmSession 3 — A New Kind of Knowing

Your Details

Full Name *

Contact Number *

Email Address *

Age *

Your Journey

How long ago did you experience the loss of your husband or life partner? *

Less than 6 months 6 months – 1 year 1 – 3 years More than 3 years

In a few words, what brought you to this group at this time? There are no right or wrong answers.

Is there anything you would like us to know before your intake call?

Confirmation & Preferences

I understand that registration will be confirmed after the short intake call and upon receipt of payment. Each session is $80. *

Yes

Preferred way to reach you *

Phone call WhatsApp Email

How did you find out about our support group? *

Family / Friend / Colleague Community or event group Social media Online search Solace mailing list Other

By submitting this form, you consent to the collection and use of your personal data for event administration purposes. *

Yes

Submitting will open your email app with your responses filled in, ready to send to Solace Therapy & Consultancy.
We will follow up to arrange your short intake call.

Questions? Email us at contact@solacetherapy.com.sg