GET INVOLVED!

How do I get my family started?

A caregiver/guardian completes the below form.
A staff member will call you back and complete a Phone Intake which includes basic information about your family and the person who died. The caregiver will have a chance to ask questions about Suncoast Kids Place or ask for more information about grieving children/teens. Your family will be placed into appropriate groups.
A Family Intake application will be emailed to you through Adobe Sign. This must be completed before your family can attend groups. The staff member will also send you a program introduction email.
Once the intake is complete your family is ready to begin attending your assigned group(s).

Name of Person Completing Form

First Name

Last Name

How did you hear about Suncoast Kids Place?

Does the below family know that SKP will be reaching out to them?

Yes

Family Information

Parent/Guardian Name

First Name

Last Name

Relationship to Children

Parent/Guardian Email

Parent/Guardian Phone Number

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Our family is a...

New Family (First time joining a group)

Returning Family (attended an SKP group in the past)

Current Family

How many children ages 3-18 will participate?

What are the best days and times for SKP to call you?

The best day for callbacks are Monday-Thursday from 10am - 4pm.

Share with us a little bit about your family and why you are reaching out

Once submitted, SKP will reach out to you within one week.