Please complete this form if you are interested in attending a Blue H.E.L.P. family event customized for your group. i.e. widows/widowers, adult children, etc.

All events are paid by Blue H.E.L.P. and there is no cost to you. 

  • Date Format: MM slash DD slash YYYY
  • Immediate family is defined as parents, step parents, children, siblings and spouses.
  • Your contact information

  • This field is for validation purposes and should be left unchanged.