Welcome to the Registration Center for the LGBTQ & Spirituality Process Group! This process should take you no more than 5 minutes. Press 'Start' to begin.
Start
 
Tell me a little about yourself:

 
What is your full name? *

 
Phone Number? *

 
Number of Children Needing Childcare?

 
Let's make sure this will be a good fit...

 
What do you hope to get out of this group?

 
Do you forsee any conflicts that may limit your participation in all 6 sessions? If yes, please explain. *

 
Are you currently struggling with any of the following? *


 
By submitting this form, I understand that I will be expected to maintain confidentiality for all participants involved. I also understand that the facilitator is a mandated reporter and will maintain confidentiality except for in circumstances of child/elder/dependent abuse and threats of violence towards self and/or others. I commit to attending all 6 sessions on time. I understand that I will only get as much out of this group as I am willing to engage and will participate to the full extent that I feel comfortable. If you agree to these terms plesae selecet "Yes." *

     
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