Partners In Growth Registration

Partners In Growth Registration

Strengthening Relationships Impacted by Childhood Sexual Abuse
Your Information

Please provide information for each partner.
Name (Partner 1)*

First NameLast Name
Are you a survivor of childhood sexual abuse (CSA)?*

YesNo
Email Address*
example@example.com
Birth Date (optional)
Name (Partner 2)*

First NameLast Name
Are you a survivor of CSA?*

YesNo
Email (Partner 2)*
example@example.com
NOTE: Each partner must use a unique email address to receive event communications individually. Please use a different email address for Partner 2.
Birth Date (optional)
EventDate

Tell us about your interest in this workshop

This will help us get to you know you better before we meet.
What do you hope to gain from the workshop?*
What aspects of the workshop most interest you?*
Is there one thing specifically you want answered during the workshop?*
How did you hear about this workshop?
Has either one of you been in therapy before?
Is either one of you in therapy now?
Have you (the CSA survivor) specifically worked on your childhood abuse in therapy?
Name one conversation that is challenging or difficult to have with your partner or one that you avoid. (For example, conversations about intimacy, money, parenting, in-laws or extended family, values, etc.) You can be specific or general.*

Participation in live work-throughs
This workshop will be dynamic and filled with conversation -- among yourselves, with us, with your partners. You'll be learning practices that will aid and sustain growth in your relationship. During the workshop we'll be working live with couples who are willing to bring in a difficult conversation and use the practices learned over our two days together. This might be a conversation you have tried to have unsuccessfully, a conversation that never seems to have a resolution, or a conversation that feels too hard to have at all. Whether you are watching or participating, this will be an invaluable opportunity.
Are you willing and interested in being one of the couples to participate in a real-time conversation, facilitated by one of us?*

YesNo
Please explain briefly the subject of the difficult conversation. *

Confirm this workshop is right for you

Not everyone is appropriate for this workshop. Please read below.
Couples who are experiencing active addiction issues, domestic violence, emotional abuse, or severe emotional distress in one or both partners are not appropriate attendees for this workshop.
We have read the above and confirm that neither of us is currently experiencing active addiction issues, domestic violence, emotional abuse, or severe emotional distress.*

Confirm
Basic safety agreements

We each share the responsibility for making this workshop run smoothly and be a safe space. Please read below, and let's be especially thoughtful about the following:
1. Confidentiality: Your story belongs to you. While you may share your own experiences outside this workshop, we trust one another to keep our personal information private and protected.
2. Unique Experiences: Each of us brings unique experiences and wisdom to this space. We practice listening without offering advice, knowing that everyone's feelings and experiences are their own to process.
3. Shared Learning Space: Every voice matters in this room. We create space for each person to share at their own pace and comfort level, whether through speaking or quiet presence.
4. Respect: We show respect by giving our full attention when others are sharing. This means putting aside distractions like phones and side conversations, allowing each person to feel fully heard.
5. Personal Perspectives: When sharing, we use "I statements" to express our own experiences and feelings. This helps us stay connected to our own truth while acknowledging that others may experience things differently.
"We welcome the opportunity to contribute to this trusted space by honoring these agreements."*

Confirm
Mandated reporting statement

As licensed therapists in the state of California, we are mandated reporters.
This means that while we hold confidentiality and emotional safety as core values, we are legally required to report certain disclosures — specifically if we become aware of:
- Ongoing child abuse or neglect
- Abuse of an elder or dependent adult
- Immediate risk of serious harm to yourself or someone else
We don’t take this responsibility lightly. Our role is not to investigate, but to ensure safety and respond according to the law when necessary. If you ever have questions or concerns about what this means, we’re open to conversation and want to create space where you feel informed and supported.
We have read and understand the mandated reporting statement above.*

Confirm

Payment
This workshop is two full days (7 hours and 6 hours, respectively), with a one hour break for lunch each day.

The total cost for the workshop per couple is $1,200.

My Products

Partners in Growth Workshop May 2026

Two day workshop for survivors of CSA and their partners.

$1,200.00

Enter coupon

Total

$0.00

Should be Empty:

Partners In Growth Registration

Your Information

Tell us about your interest in this workshop

Participation in live work-throughs

Confirm this workshop is right for you

Basic safety agreements

Mandated reporting statement

Payment