MMG - Married Men's Support Group - Confidentiality Form

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Please fill out form below

First/Last Name:
Email:
Cell:
Work/Home #:
As a participant in this men’s group I understand that it is a safe place for myself and others to share. I agree to keep all conversations in strict confidence.		YES NO
I am willing to be contacted occasionally by one of the MMG Leaders for support and accountability.		YES NO
I am willing to have my name, email and telephone number released to current MMG members for encouragement, support, and accountability.		YES NO
I would like to receive occasional texts or emails with encouragements and/or meeting reminders.		YES NO
How did you hear about this group?
What do you hope to get from this group?
Saddleback Church Members: What classes have you taken?		None 101 102 103 104
Date:

Meeting Location

Main Ministry Office
#1 Saddleback Pky. Lake Forest CA 92630
(Corner of El Toro & Portola)
Check in at the reception area and they will direct you to the room.

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