2023 Group Agreement

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Complete and submit this form at least 24 hours before the group.

First and last name *

I understand the Free Group is on August 10, 7:30 am PST, and is based on Julie's recent newsletter: Summer Survey. To receive this newsletter, I can subscribe on Julie's website. *

Yes

I understand this group will be audio and video recorded by Julie Davis, these recordings are for Julie Davis only and will not be available to me or anyone else, and no other audio/video recording is permitted during any portion of any group. *

Yes

I understand that, although only registered participants are allowed in and groups are locked at start time, Zoom video meetings are not considered confidential and anything I choose to say or do during a group may not be confidential. *

Yes

I understand my video must be on at all times, and that any verbal, audio or visual disturbances on my end may result in removal from a group and possibly subsequent groups without notice or discussion. *

Yes

I understand that any personal assistance I receive from Julie Davis during a group process is for educational purposes only and not intended as therapy or mental health services. *

Yes

I understand that groups offered by Julie Davis are not a substitute for medical or mental health services and I must call 911 if I experience a life threatening situation and seek professional help if I experience a severely troubling but non life threatening situation. *

Yes

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