Meeting Interest Form

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Complete this form to register for our monthly support meetings and agree to our ground rules. You will receive an email with the details of our meeting location. We collect this information for the safety of our participants. We will not share this information outside of our local chapter. This is not a membership form.

Ground Rules for participation in our support meetings

1. Confidentiality is a fundamental agreement for all who participate in PFLAG. Anything said in a meeting is confidential to the group. What you hear and who you see stays here.

2. Be honest.
3. Use “I” statements.
4. Express feelings, not opinions.
5. Be respectful of time.
6. Listen generously. Give your full attention.
7. Respect differences and diversity of views.

First and last name *

email address *

phone number *

mailing address

I agree to participate in the support meeting in accordance with the ground rules. *

Yes, I agree to follow the ground rules to protect the privacy of other participants.

Required

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