Get Connected - Tenafly Alpine, and Englewood Cliffs
Please fill out all fields below.

Dates: Mondays, June 7th, 14th, and 21st

Times: 2-3 pm
First Name *
Last Name *
E-mail Address *
Phone Number *
Mailing Address (For Gift Card delivery) *
SECURITY: Please be mindful that you are participating in this group via ZOOM, which is an internet based platform. As such, the Agency (or the program) cannot ensure complete security. The staff will do their part in ensuring that individuals participating in the call are supposed to be part of this group. Please make sure that you do not share the ZOOM invite with other people. If you know someone who may be interested, please share teh information on how to register. This is to help keep the group secure. Do not share personal identifying information during the call, and please be respectful not to share any information you learn about any other participants with individuals outside of this group.
CONFIDENTIALITY: The information shared in this group shold remain confidential. However, if it becomes apparent to the facilitator that any individual is in imminent danger, the facilitator will contact the appropriate support and/or crisis resources including a crisis response team, EMS, or law enforcement.
LOGISTICS: During the Zoom call, the facilitator may mute microphones in order to reduce noise. However, during times where members of the group are sharing, the facilitator will unmute participant mics. Please mute your individual microphone during that time unless you are sharing.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy