Agreement

Parent Support Group Participation Agreement

* Indicates required field

Name(s) of Participant(s) *

Month I/We registered for in 2022 *

Please initial after reading each statement:

All information discussed in this group is to remain confidential. *

I agree to make every effort to attend each weekly session and be on time. *

I agree to participate in a respectful and supportive manner. *

I understand this is a support group and is not group therapy. *

I understand the Group Facilitator will help lead topics of discussion and offer general advice based on their experience as a parent with an SM child. Participation does not imply a therapeutic relationship has been established. *