Rediscovering Me (2.0): Participation Agreement

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Welcome to "Rediscovering Me: Who Am I Beyond My Trauma?" This is a 6-month support group created by Gaelyn Rae Emerson of Women Ever After, LLC, in cooperation with special guest coaches Jacki Elsom and Esther Elmer. In preparation for joining our group, please take a few moments to read and acknowledge Gaelyn's business policies, registration and participation agreements; these create a clear and solid foundation for our individual and group coaching dynamics. If you have any questions about ANY of these acknowledgments, please don't hesitate to reach out to me via email at gaelynrae@womeneverafter.com. PLEASE NOTE: For the purposes of Rediscovering Me, the same policies and agreements outlined here extend to your professional relationship with Jacki Elsom, Esther Elmer and other any substitute coaches, guest coaches or co-facilitators present within group sessions and spaces.

Email *

What is your full name? *

What do you prefer to be called? *

Where or from whom did you learn about this group? *

What is your Facebook profile name? *

May we send you a FB message or friend request, in preparation for adding you to our private, moderated FB group space? *

Yes, please send me a FB message or friend request.

No, I prefer not to participate in the Facebook group; I understand this will exclude me from a significant measure of group interaction and information.

What is your cell phone number? *

May we contact you via text message or voicemail, using the number provided above? *

Yes, you may contact me via text message or voicemail.

No, please contact me via email only.

Clear form

Never submit passwords through Google Forms.

This form was created inside of Women Ever After. Report Abuse

Forms