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Domestic Violence Therapeutic Group Participant Contract

As a participant of this service:

  • I commit to participating in this group with the goal of healing, growth, and reclaiming my sense of safety, strength, and self-worth. I understand that this is a journey, and I am here to take steps, however big or small, toward building a life free from violence and fear.
  • I will take part in the program, follow instructions, complete the evaluation, the pre-and post-test, and get involved mentally and physically. If I disrupt class, I will be asked to leave.
  • I understand that all suspected child abuse and neglect will be reported as defined by Indiana law.
  • I have the right to my own opinions, and am free to say whatever I feel, if it isn’t hurtful and doesn’t infringe on the rights of other class members. I will be respectful and supportive of other class members. There will be no physical or verbal violence addressed toward any member of the program at any time.
  • I am responsible for my own learning.
  • I will attend the group on Wednesday from 6-7:30pm.

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Client Signature
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