Confidentiality Agreement
Confidentiality Agreement and Participation Conditions for participating in a Retreat4Change programme

- I agree to keep all information disclosed or discussed within this retreat programme private and confidential. Outside this retreat I will only disclose details about myself or the value of the programme.
- I agree that at all times the retreat practitioner is responsible for how the retreat is managed.
- I agree to encourage, affirm and demonstrate emotional honesty while respecting the boundaries of all participants.
- If someone shares a personal matter or expresses a private opinion that awakens negative emotion, I will not display anger or rejection towards them but rather, take the opportunity to process this within the group at specific times.
- Personal contact between individuals outside this retreat is the sole responsibility of each individual. However, Retreat4Change believes contact is not advisable and may be seen as an invasion of a person’s rights and privacy.
- I agree not to pressure others to do what I think is best for them. No one should feel pressured to disclose any personal issue, information or expectation to make contact once the retreat is completed.
- I agree that as a participant I will not take on the role of counsellor to advise or persuade others to do what I feel is best for them.
- I accept that when someone is sharing, they have the right to finish what they are saying without being interrupted or put down.
- I accept, I will not dominate the group by way of time or attitude.
- I agree that no part of this retreat workbook will be reproduced, by whatever means without written permission from CrossRoads Counselling Centre Ltd.
- Please share your concerns with the retreat practitioner should you find some aspect of the programme or facility inconsistent with health and safety standards.
- I agree that continued participation in this retreat is dependent on my acceptance of this Confidentiality Agreement, Retreat Protocols and the health, Safety & Risk Disclaimer. Failure to adhere to them, may result in removal from this retreat. Should this eventuate, full or partial refund will not be remitted.
- I agree that the conditions of this Confidentiality Agreement are accepted in full by my signing of the Registration Form.
- Online payment of fees must be received in full by the due date.
- I understand and accept the online details concerning the contents and nature of this group therapy retreat.
“Healthy attachment authenticates worth, needs and beliefs in others.”
David Moore
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