Welcome to the Commit to You Mom Group Please fill out this form to sign up for the Commit to You Mom Group. Thank you for your participation. Name (Optional) First Name Last Name Email * Listed below are potential group times. Select the group time(s) that work for you. You will be emailed information about your finalized group time. * Please select all that apply Monday at 7 pm (Eastern Daylight Time) Tuesday at 10 am (Eastern Daylight Time) Wednesday at 7 pm (Eastern Daylight Time) Thursday at 12 pm (Eastern Daylight Time) None of the above If none of the above listed group times work for you, list your availability below. If future group sessions are added, the overall availability of group members will be considered. What country, state, and city are you from? * What is your time zone? * Group rules and disclaimers: * Please be kind and respectful to other moms as well as keep the information that is shared in the group confidential. As moms, we will have a lot of differences in our backgrounds, parenting styles, opinions, etc. Let us maintain a judgement-free zone. I hope that we can learn from each other as well as respect each other’s differences. Disclaimers: 1. This group is not intended to be a form of treatment or therapy nor should it replace getting treatment. It is only meant to be a space in which moms can connect to support each other. Furthermore, though I have a graduate degree in psychology, I am NOT a licensed psychologist. If you need therapeutic or emergency psychological resources, please connect to them in your area. 2. Additionally, I hope that the Commit to You Mom Group (weekly group chat and blogs on websites) are safe, respectful, confidential, and supportive environments, but due to the nature of technology, it cannot be guaranteed. By checking the box, you are participating in this group voluntarily and understand that you are solely responsible for any risk that is inherent with online participation. 3. Lastly, please only participate in group conversations or utilize skills that you find useful. I understand the rules and disclaimers listed above and I consent to them. Thank you!