Your reset with a clear plan starts now!
We're excited to have you here! Please take a moment to read the important information below to help you get the most out of this experience. Both husband & wife should complete this form together.

(1) Registration & Payment

A S$200 non-refundable deposit is required to reserve a place for you and your spouse. This deposit secures your spot while you complete a one-hour exploratory session.

You will be required to upload a screenshot of your payment confirmation at the end of this form. Please complete your payment via PayNow and save a copy of the payment confirmation page before proceeding.

Payment Details:

Focus on the Family Singapore Limited
UEN: 200108115N
Amount: S$200

Important:
Please enter 'Marriage Getaway - [Your Name]'  in the reference box. 

(2) Confidentiality & how your information is used

We treat your information with care and respect. Because this is a group‑based programme (not individual therapy), confidentiality expectations differ slightly from typical counselling. Here is how we handle your information:

a. For the exploratory session and programme operations

We collect and use information you provide to: (i) assess suitability and safety; (ii) plan group composition and supports; (iii) coordinate logistics (e.g., venue, dietary needs).

Minimal necessary details may be shared within our clinical team and event operations team for safety and coordination.
 

b. Group etiquette & privacy limits

We invite all participants to honour group confidentiality (what is shared in the room stays in the room).

Because this is a group setting, we cannot guarantee other participants’ silence. We set norms, model good practice, and step in to protect safety.
 

c. Legal & ethical limits to confidentiality (apply to exploratory session and programme)

We will maintain confidentiality except in situations where we have an ethical/legal duty to disclose, including: (1) foreseeable suicide risk; (2) ongoing abuse of a child, elder, or person with disability; (3) intention to commit a crime; (4) imminent risk of harm to self/others/society; or (5) if information is subpoenaed by a court or relevant authority. 
 

d. Evaluation

We will invite you to complete short pre/post questionnaires to evaluate programme effectiveness.

Your data rights (PDPA): You may request access/correction to your personal data, or withdraw consent to non‑essential uses. Some withdrawals may limit our ability to deliver services safely (e.g. if we cannot contact you in an emergency).

(3) Safety, participation, and conduct

To protect all participants,

Safety first: If significant risk emerges (e.g., violence risk, acute mental health crisis, ongoing affair disclosure), organisers may pause or discontinue your participation and recommend an alternative care path.

Phones down: We ask that devices are kept off/silent during sessions to reduce phubbing and build presence.

No recording: Audio/video recording by participants is not permitted.

Respectful sharing: You choose how much you share. We will never force disclosure in the group; we focus on safety and learning.

Substance policy: Please refrain from alcohol/drug use before/during sessions.

Right to withdraw: You may withdraw from the programme at any time. Cancellation /Refund policy applies.

(4) Cancellation/Refund policy

Please inform us if you need to withdraw or defer at any point in time. The entire fee is forfeited if you wish to withdraw from the programme. The fees can be deferred for participation in a later run, with a validity of twelve months. Any requests for deferment will incur an administration fee of S$100. For any questions, please get in touch with us.

(5) Terms and Conditions

• Programme - We understand that the Connect2 Marriage Getaway is a structured, small-group programme with therapeutic guidance and it does not replace counselling or medical treatment.
• Exploratory Session - We understand that acceptance to the programme is not guaranteed and consent to attending a 1-hour session with a therapist to assess fit and safety.
• Confidentiality - We understand the privacy policy stated, group confidentiality norms, the legal and ethical limits to confidentiality.
• Deposit and Fees - We agree that the S$200 deposit is non-refundable. The value will be credited toward our programme fees if we proceed with registration, and if we do not proceed, it will be credited toward counselling services for 6 months.
• Safety and Conduct - We agree to abide by group safety norms (no recording, respectful participation, devices off) and understand that the organisers may recommend alternative care or discontinue participation to protect the wellbeing of other participants.

For Him:

For Her:

About Your Marriage

Payment Confirmation

A S$200 non-refundable deposit is required to reserve a place for you and your spouse. This deposit secures your spot while you complete a one-hour exploratory session. If you are confirmed for the programme, full payment will be required and the deposit will be credited toward your programme fee. 

Payment Details:
Focus on the Family Singapore Limited
UEN: 200108115N
Amount: S$200

Important:
Please enter 'Marriage Getaway - [Your Name]' in the reference box.