Registration of interest

We would like to invite you to our very special Remembrance Day on the 24th November from 12-4.45 in Barretstown Co Kildare.

We recognise that the death of a close family member is one of the most fundamental losses a person will ever face. These special events offer families the opportunity to meet and gain peer support from others who truly do have an understanding and a shared experience, helping to reduce the feeling of isolation felt by many.

We welcome all family members, parents , siblings of any age , grandparents , grandchildren.

Below is the form to fill in for expression of interest and we will get back to you with the final details on the week of the event .

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mobile Number(Required)

Email(Required)

Names of attendees (Adults & children)(Required)

Name of person who has died(Required)

First Last

Any dietary restrictions

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