The Grief Recovery Method® Registration Forms

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Must be 18 years of age or older

The Grief Recovery Method® Registration Agreement

The Grief Recovery Method® Outreach Program is conducted in association with The Grief Recovery Institute. We will be using The Grief Recovery Handbook: The Action Program for Moving Beyond Death, Divorce, and Other Losses (Revised Edition) as our text to guide us to recovery. The one-on-one program is an seven-week program and meets once per week. Successful completion of the program requires regular attendance as well as fulfillment of weekly homework assignments.

The cost of the program is $500.00, which includes the handbook and all additional materials. Payment in full is appreciated at the beginning of the Eight-week session, although an installment plan can be arranged for your convenience—cash, checks, VISA, and MasterCard are all accepted. Class must be paid in full by the first class session to reserve your spot.

Group Class:
Since attendance is such an essential part of the program, each participant is responsible for paying the entire cost of the program, even if they miss a class. No refunds are given after class one. If full payment is not received by the end the first session, reservation may be canceled.

1-1 Clients:
If we have to reschedule more than twice during our 7 weeks there will be an additional $75 restart fee to finish our sessions.

I have read and understand all of the above and am aware of my responsibilities in attending The Grief Recovery Method® Outreach Program.
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The Grief Recovery Method® Liability Agreement

I am the Participant named above. I want to participate in Grief Recovery Method; sessions conducted by a Grief Recovery Method Specialist; certified by The Grief Recovery Institute. I understand that the Grief Recovery Method sessions are not intended to be or substitute for professional medical or mental health services, and I will not rely on the sessions as a substitute for professional medical or mental health services. I understand that my participation will not (i) qualify me to lead or conduct Grief Recovery Method sessions or similar sessions, or (ii) make me a Grief Recovery Method Specialist, certified by The Grief Recovery Institute. I will not receive a license to use GRI name or any of GRI trademarks. Confidentiality Statement I understand that as a participant in the Grief Recovery Method Online or In-Person Formats, I may have access to personal information about my CGRS. I understand that I am obliged to maintain the confidentiality of this information at all times. I understand I am not to store, discuss, interpret, or otherwise relay this personal information. I further understand that violation of these privacy and confidentiality considerations could be subject to legal action. I agree by my signature that I understand these privacy and confidentiality considerations. In consideration of receiving the services, on behalf of myself and my representatives, successors, heirs and assigns I release, hold harmless and waive the right to bring any claim against GRI and its affiliates, licensees, employees, directors, officers, shareholders and agents arising from or related to my participation in the sessions, except for claims arising from their reckless or intentionally wrongful acts, including without limitation claims for injury, death, property damage or loss. If this release conflicts with applicable law, I intend to release claims to the extent permitted by applicable law. I consent to taking part in the sessions and see no reason why I am not able to do this. This release applies to all GRM Formats except the HCWL Format, which has a separate release.

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