Kids’ Haven collects information about our participant families and the death they are grieving. Our work with you and your family is confidential, and all information is private.
All families must complete this form before joining group night. If you prefer to handwrite forms, you may print them out here. When attending your first group night, both the guardian and all participants will also sign the Family Agreement Statement and Privacy Statement. A copy of these statements can be viewed and/or printed here. We will also have paper copies at Group Night.
A member of staff would be happy to assist you in completing these forms. Please email programs@kidshavenlynchburg.org or call 434.845.4072 to set up an appointment.