Thank you for your interest to join the Missing GRACE Foundation!

Benefits Members receive:
 * GRACE Newsletter.
 The quarterly newsletter includes information on a wide range of topics: personal stories about bereavement, infertility and adoption, In honor and in memory section, conference information and updates about members and their activities, and valuable educational highlights. Members can choose to either receive the GRACE Newsletter by mail or online. Members who wish to view the newsletter online simply log into the Member Sign In area on the site.
 * Baby's name and birth date included in Commemoration section of GRACE newsletter that corresponds with child's birth date. If parents have not named their baby we can still include the baby in the following manner: Baby Smith m/c 12-01-03.
* Email updates with news about latest advancements made medically, legislatively, and on the home front for stillbirth awareness and prevention, infertility, and adoption.
 * Discounts on registration fees for the GRACE Conference.
 * GRACE Tote filled with variety of valuable resources.
 * Commemoration Candle.

 Individual membership is $40 annually

 Professional membership is $100 annually

 Professionals wishing to affiliate with Missing GRACE Foundation and our mission to serve families who have experienced the death of a baby, infertility, or difficulties with adoption can become members of the foundation. Professional members receive all the same benefits as regular members. Also included in the Professional membership is a copy of our Medical Educational DVD.
* Professional members also are listed in our Resources Section and receive a direct link to their website!

Please check all boxes that apply and fill in all applicable blanks.

 Please send your payment by mail to:
 Missing GRACE Foundation
 P.O. Box 1625
 Maple Grove, MN 55311-6625

or send it by PayPal using the link on the page that comes up after you submit this form.

Printable Form

If you would please take the time and share with us more about you by filling out and submitting the following Membership Form, we would appreciate it as it will help us better serve you and other members. The information you share will be held private by the Missing GRACE Foundation and will not be sold or given to others. We will include your baby's name, anniversary dates and cause of death in our Commemoration section of our GRACE Newsletter. If you prefer us not to have your baby's name listed please make note of that in the form. Thank you very much!

Name
Organization name (if applicable)
Email
Phone number with area code
Alternate phone number with area code
Street Address
City, State
Zip Code
How would you like to receive your newletter?	Online By mail
How should we expect your payment?	By PayPal By mail
Are you a bereaved parent?	Yes No
Please include your baby's name(s), birthdate(s), and cause of death if known.
How did you hear about the Missing GRACE Foundation?
How did you find us?
Have you ever struggled with infertility issues?	Yes No This is a current issue for me
Would you like to receive resources for infertility?	Yes No
Have you ever adopted a child?	Yes NoI am in the process now
Would you consider adoption in the future?	Yes NoMaybe
If you are a bereaved parent, please share with us about your loss
Please share baby's name(s). Please include miscarriages and ectopic pregnancies (if you have not named baby, you can write for example Baby Smith #1 m/c 10/20/05).
Please share baby's birthday(s)
Please share baby's due date(s)
Baby's age(s) when born and when they died
Cause of death, if known
May we include your baby's information in our GRACE Newsletter?	YesNo
Do you have a web site to honor your baby?	YesNoIt is in progress, but not finished yet
If yes, would you like to have your baby's link added to our website?	YesNo
If you do not have a website, would you like to have one in the future?	YesNo
We encourage members to write out their story and send to Missing GRACE for consideration in future GRACE newsletters.	I have included the short version of my story. I have included the full, longer version of my story in this form. I will submit my full story later for consideration in a future newsletter.
Would you like to learn more about protecting and caring for a possible future pregnancy?	YesNo
Do you currently attend a support group? (check all that apply):	Infertility Adoption Pregnancy or Infant Loss Subsequent Pregnancy after Loss
Would you be interested in attending a GRACE Support Group if there was one in your area?	YesNoI already attend one
Are you aware that we offer online groups?	YesNoI am a member already
Would you be interested in volunteering for Missing GRACE Foundation?	Yes, I would like to start! Maybe at some point in the future *If you answered yes, please fill out this form also:
Are there any services or resources which you are searching for that you would like to see us offer in the future? If so, please explain.
Questions or Comments
Thank you for taking the time to complete the above information. We hope we will be of help to you on your journey.
Please review form before submitting