Founding Member Agreement
Welcome Founding Member
Thank you for joining the co-creation stage of the Cycle-Breaking Mothers Club™ — a trauma-aware community for mothersbreaking intergenerational patterns. This form outlines your role as a Founding Member, the feedback commitments, and your lifetime free access.
About the Community
The Cycle-Breaking Mothers Club™ is asupportive community for mothers who are parenting with intention while healingtheir own histories. The community includes:• A private online space• Weekly touchpoints (prompts, live calls,resources)• Micro-lessons based on the REPAIR™ model• Peer support, co-regulation, and sharedlearning• A neuroaffirming, compassion-centeredparenting lens
About the REPAIR Model
The community is grounded in the REPAIR™model — a simple, relational framework that supports cycle-breaking mothersthrough:• Reflect — build awareness of how the pastshapes the present• Empower — disrupt shame-based narrativesand build self-worth • Practice — strengthen your sense of capacity and recognize you are capable• Align — clarify values and align parenting intentions• Integrate — consolidate learning and implement new patterns• Reclaim — affirm growth and create a newlegacy
Founding Member Participation
As a Founding Member, you receive free lifetime access to the community (for as long as the community exists) in exchange for helping shape its early development. Your reflections will guide the content, rhythm, and support structures in the Club. You agree to provide written feedback atthree points: 1. Upon Joining – What you need in asupport community 2. Two-Week Check-In – Initial experienceand suggestions 3. One-Month Check-In – What’s working andwhat’s missing
Feedback will be used to refine the Cluband may be used for advertising, testimonials, and marketing materials.
Feedback and Testimonial Consent
By submitting this form, you consent toallow The Elara Institute to use your written feedback in:• Advertising• Testimonials• Website copy• Social media posts• Marketing materials• Grant applications. Only your first name or initials will beused unless you clearly consent otherwise. No personal health information willever be shared.
Community Clarifications
The Cycle-Breaking Mothers Club™ is notpsychotherapy or a clinical service. It is an educational, coaching, and peer-support community. Confidentiality is encouraged but not guaranteed in a group environment. This space cannot provide crisis support. You participate voluntarily and at your own pace.
Community Agreements
By joining, you agree to:• Engage respectfully• Honour privacy and boundaries• Avoid giving clinical advice• Offer feedback with compassion• Uphold a trauma-informed approach• Participate only as you feel comfortable
Acknowledgement and Signature
By signing, you acknowledge that:• You will receive free lifetime access tothe Cycle-Breaking Mothers Club™• You agree to provide feedback at the 3 planned time points• Your feedback may be used for marketing (as noted above)• You understand this is not psychotherapy• You participate voluntarily• You may withdraw at any time
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Signature
Continue
Continue
Should be Empty: