Participation Agreement – Messy Hearts Circle

Please Check All

I agree to confidentiality and will not share others’ personal stories or identifying details outside the circle.
I agree to no fixing: no unsolicited advice, diagnosing, or coaching.
I agree to speak from my own experience and participate with respect and care.
I understand no audio or video recording or photography are allowed.
I agree to attend in a way that supports presence and group safety (not under the influence).
I understand the facilitator may intervene or redirect to protect the group container.

Name

First

Last

Typed acknowledgment serves as consent

Check Email Date

Date

Email