Wufoo
Death Cafe Registration Form
What is a Death Cafe?
At a Death Cafe people, often strangers, gather to eat cake, drink tea and discuss death.
Our objective is 'to increase awareness of death with a view to helping people make the most of their (finite) lives'.
A Death Cafe is a group directed discussion of death with no agenda, objectives or themes. It is a discussion group rather than a grief support or counselling session.
Our Death Cafes are always offered:
- On a not for profit basis
- In an accessible, respectful and confidential space
- With no intention of leading people to any conclusion, product or course of action
- Alongside refreshing drinks and nourishing food – and cake!
*Reminder that our Death Cafe is 18+*
Registration Information
Name
*
First
Last
Birth Date
*
MM
/
DD
/
YYYY
Phone Number
###
-
###
-
####
Email
*
Medical Information
Please let us know if you have any food allergens, we will try our best to accommodate these!
Medical Concerns
We're Sorry :(
As of right now, LLBCL is hosting Adult Only Death Cafes! However, please submit this form and give us feedback if there are minors interested, as we may consider including them in the future!
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