Clone of Hope Group Registration - Summer 2026

Name

Email

Street Address:

Apt or Unit #

City

State

Zip Code

Phone Number

I understand my registration price includes a $50 nonrefundable fee that will be deducted from my refund if I am required to cancel for any reason.

Confidentiality is essential for all Hope After Betrayal facilitators and group members to ensure a safe and respectful environment. What’s shared in the group stays in the group — with a few important exceptions: We are required to report any information that suggests abuse or harm involving a child, elderly person, or adult with disabilities; any illegal activity; or anything that poses a risk to someone’s safety. When required by law, Hope After Betrayal will report concerns to the proper authorities.Facilitators may also share limited information with Hope After Betrayal leadership for guidance and support when needed, but will always do so in a way that honors you and your confidentiality.

To the best of my knowledge, I am available to be present for 12 consecutive weeks. If I miss 3 classes, I will no longer be enrolled and will need to re-register for another group.

I understand that to participate in the meeting, I must remain in a private setting and on screen for the duration of the meeting. For safety and to ensure full engagement, attending the meeting while driving is strictly prohibited.

Hope After Betrayal (HAB) reserves the right to remove any participant from a Healing Hope Group or HAB event if their behavior is deemed harmful to themselves or others, disruptive to the group, or in violation of HAB’s policies.

I understand that Healing Hope Groups are led by peer facilitators, not licensed clinicians or therapists. These groups are meant to support my healing journey but are not a substitute for professional counseling or mental health care.

Can we reach out to you via text with announcements/updates?

Would you like to sign up for our newsletter?

IMPORTANT NOTE:

Healing Hope Group registration requires 2 STEPS.

1. Submit this intake form.

2. Once the form is submitted, payment options will be provided. Choose the option that works best for you and submit payment.

Your registration is not considered "active" until both steps have been completed.

I understand that this is a 2 step process and that my registration will not be considered complete until my form and payment have both been submitted.

Healing Hope Group Registration