Participation Form for The Widow/Widower Café on the Peninsula

This form will tell us a little about you and will allow us to better form this new group.

Joan Golder will be calling all those that complete the form. She will explain the details and will be able to answer any questions you may have.

Thank you for your interest in our new social group!

Widow/Widower Café on the Peninsula

Date of Birth(Required)
Have you been involved with JFCS in the past?(Required)
This field is for validation purposes and should be left unchanged.