Beyond Sympathy Workshop

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  I hereby acknowledge, by checking this box, that I understand that Confidential Information and data to which I have submitted in this transmission is to be kept confidential, and this confidentiality is a condition of participating in the Beyond Sympathy Grief Support Group. This information shall not be disclosed to anyone under any circumstances, except to the extent necessary to fulfill the goals of the event.

The information enclosed with this transmission are private, confidential property, and the material is privileged communication intended solely for the individual indicated. There shall not be any outside review, disclosure, copying, distribution, or the taking of any other action relevant to the contents of this transmission.