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Bereaved Families of Ontario -

York Region

Charity Registration Number: 865703318RR0001

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Group Facilitation Report Submission

Date

Week #

Group Type *

Open

Closed

Group Name

Method of Delivery *

Online

In-Person

Location

Facilitator 1

Facilitator 2

Shadowing Facilitators

Number of Participants

Please provide a brief summary of the weekly session:

Was there anything that you observed that may be of concern or need to be documented?

Facilitators Comments:

Name of Facilitator completing this report:

Thanks for submitting!

Call Us (905)898-6265 or Email programs@bfoyr.com

For immediate support, call 1-855-310-2673 (COPE) or 911

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