Name
Phone Number
Email
What are your biggest goals for the coming three months?
If you have ever participated in a men's group before, please describe your MOST valuable experiences.
In what area(s) of your life do you need most support right now?
What lights you up and motivates you?
What is your location and/or time zone?
What else would you like us to know about you before we start?
I agree to the terms of group engagement, including: maintenance of confidentiality, commitment to non-violence and mutual respect, and engagement in compassionate behavior that welcomes all men regardless of race, ethnicity, ability, socioeconomic status, age, religion, sexual orientation, or identity. I understand that this program and coaching groups are not to be used as replacement for mental health care. I understand that I may be removed from the group at any time for not following these guidelines.
I understand that small group calls will be held by Zoom on Mondays at 8pm Eastern / 5pm Pacific from October 28 to December 16 and that men are expected to attend all calls.
Submit and Proceed to Payment to Secure Your Spot
