This has better work - 24.07.17
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Estimated dates of group running from:
Estimated dates of group running to:
Location of group:
Estimated group numbers:
Age range of group from:
Age range of group to:
Please indicate the number of children who have been affected by each of the following:
Bereavement of a family member:
Bereavement of a friend:
Death of a pet:
If known, please note here the number of children affected by cancer: