Form

Abundant Living Registration
Biweekly meetings on Monday at 7pm EST via Zoom

Email*

First Name*

Last Name*

Phone Number

Preferred Method of Contact (select all that apply)*

Call

Text

Do not contact

Why are you interested in this support group?*

How did you hear about this group?*

Do you have any specific topics you would like to discuss?

Group Agreement

- I understand that this is a mental health support group grounded in Christian principles.

- I agree to be punctual. Group will start and end on time.

- I understand that I am not required to speak in group, but I will introduce myself when a new member is added to the group.

- I agree to keep my camera on for the entirety of each virtual group meeting, and will participate in a private area where no other parties are able to view or hear any of the other members in the virtual group meeting.

- I agree to abide to the rule to not speak over any other group member or group facilitator - one speaker at a time.

- I agree to respect the time limits established by the facilitators.

- I understand that this is not a therapy group and strictly a support group. This group is not designed to counsel or fix one another. We can share our own experiences and tools that worked for us to help us navigate life's challenges and struggles.

- I agree to engage in active listening, with the aim of listening for deep understanding as opposed to listening to respond.

- I will support each other in the process of self-exploration around issues of diversity and other personal difficulties, challenging our own biases and engaging in courageous dialogues for growth.

- Confidentiality agreement: You have the right to confidentiality and privacy by the group facilitators and other group members. Confidentiality within the group setting is a shared responsibility of all members and facilitators. Confidentiality within the group setting is often based on mutual trust and respect.

- As a member of this group, I agree to not disclose to anyone outside the group any information that may help to identify another group member. This includes, but is not limited to, names, physical descriptions, biological information, and specifics to the content of interactions with other group members.

By checking the box below, I indicate that I have read carefully and understand the Group Agreements and that I agree to its terms and conditions. I have asked and had answered any questions I have concerning these Group Agreements and am aware that signing the Agreement is required for my admission to the group. I am also aware that my refusal to sign this Agreement will exclude me from participating in the group.*