Bereaved Member Intake

Welcome to Gilda's Club Grand Rapids Member Information

Gilda’s Club Grand Rapids welcomes you as a Member of our grief support community. We are glad that you walked through our red door and hope that you will find opportunities to learn, share and find some laughter during this journey. The following information will help us get to know you better and provide insights on what you might find of greatest value at Gilda’s Club.



Grief Information

If the cause of death was cancer-related, please select the type of cancer(s) below.



The demographic information you provide will assist Gilda’s Club in our effort to seek funding from foundations/grants that help ensure our activities remain free of charge. Individual data will not be shared, rather collective group statistics will be utilized.

Emergency Contact Information