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Thank you for your interest in hosting a peer led community event.

These events are a meaningful way to build connection and community for people with shared experiences.

Please complete this short form to share your event idea. You do not need to have all the details finalized. Emma will follow up with you by email to confirm details and support next steps.

Please submit this form at least 4 weeks in advance of your event.

About You

Full name*

Pronouns*

Email*

Phone*

What city do you live in?*

I have completed the BSN Peer Mentor Training Program

Event Details

Event name*

Proposed date and time*

Year

Month

Day

Time

:HoursMinutes

Proposed location (If known, or write TBC)*

Who is the event for? e.g. bereaved parents, those experiencing infertility, non-birthing partners, etc.*

Approx group size e.g. 5 to 10, 10 to 15, up to 12)*

Brief description of event (A few sentences is enough)*

Support and Logistics

What support do you need from BSN? (Check all that apply)

Promotion (website, Instagram, email)

Help with event description or graphics

Printed materials

Volunteer support

Other (please specify)

Estimated cost of the event (if applicable). We can confirm details together before the event*

Will this event involve fundraising or ticket sales?*

Yes

If yes, please explain

Other

Is there anything else we should know?

I understand that my event proposal will be reviewed by Butterfly Support Network and may require follow up before approval

I agree to uphold Butterfly Support Network’s mission and values when planning and hosting this event

Acknowledgement

“We acknowledge that we live, work, and seek to support grieving families on the traditional, ancestral and unceded territory of the Coast Salish peoples – Musqueam (xʷməθkʷəy̓əm), Stó:lō, Squamish (Sḵwx̱wú7mesh), and Tsleil-Waututh (Səl̓ílwətaʔ/Selilwitulh) Nations.

We also realize that you may be joining from many different places, and acknowledge the

traditional owners and caretakers of those lands. If you do not know whose land you are on, we encourage you to find out by going to: www.native-land.ca."

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