TCFV Membership Submission Form

Phone(Required)

Email(Required)

Children's Names

Other Family Member's Names

Would you mind also including some details on your child, sibling or grandchild who died?

We appreciate this might be a very sensitive area … if you’d prefer to continue setting up membership over the phone, please call one of our friendly phone support volunteers on 1300 064 068.

Please specify(Required)

Date of death

Birth Date

Age at death

Are there any additional details you would like for us to know?

Please specify

Date of death

Birth Date

Age at death

Name of support group/s

Any comments about how our peer support could be useful for you?

Please establish your membership via our safe, encrypted website form below.

TCFV Membership Form

Would you mind also including some details on your child, sibling or grandchild who died?