Registration

Registration form

We sincerely thank you for your interest in joining AEDAN. Your involvement can provide comfort, a listening ear, and support to parents experiencing perinatal loss or a subsequent pregnancy.

The last 4 questions marked "Optional" are not mandatory. They help us match you with someone who has the most similar experience possible.

First name

Name

E-mail

Phone

City of residence

What inspires you to join AEDAN?

Which aspect interests you?

Peri-Peer

Journey Towards the Rainbow

Both

What type of support do you feel comfortable offering?

Active listening

Accompaniement

Support via messaging and phone call

Are there situations that you don't yet feel ready to address?

How would you like to receive support or supervision as a volunteer?

What do you hope to gain from your experience with AEDAN?

Have you experienced perinatal loss? (Only those who have experienced this can volunteer.)

Yes

No

How many years have you had since the loss of your baby?

Have you had a subsequent pregnancy?

Yes

No

How many hours per month would you be available?

Duration of your commitment (e.g., 3 months, 6 months, indefinite)

Optional: In which trimester did you lose your baby?

Optional: Did you have children before? (Your experience could help parents facing the presence of siblings of their baby.)

oui

No

Optional: If you feel comfortable sharing, tell us about your deceased child.

Optional: If you have experienced a pregnancy after a perinatal loss, briefly describe your experience:

"Currently in the process of being recognized as a non-profit organization."

If you do not feel comfortable filling out the online form, please do not hesitate to request it from us by email.