On July 25, our agenda will be simple: We’ll come together to create a space that is healing, safe and courageous. We’ll exchange personal stories without judgment or criticism, and we’ll rally behind one another in coming to terms with the loss of our beloved partners and relationships.
To ensure an environment of mutual safety, all participants MUST (a) provide the following participant information, (b) agree to honor group privacy, confidentiality, sensitivity and self-care policies, and (c) acknowledge your own self-responsibility disclaimer.
Please note that the details you provide here are for my (Gaelyn's) eyes ONLY. During the group session, you are welcome to share or withhold any specifics you wish about your situation; you may also use a pseudonym for anonymity, if you prefer.
If you have any questions about this form, its purpose or its application, please reach out to me by email: email@example.com
In service and support,