Men's Work NYC OMG Web Form Submitted

Register to attend the Men's Work NYC

Open Men's Group

First Name *

Last Name *

Email *

City *
State *
Postal Code *

Phone *

Add 5+6 *

How did you hear about the group? *

Why are you interested in attending this men's group? *

This ManKind Project USA's Open Men's Group is not a substitute for professional mental health services. I am 18 years of age or older and I identify as a man. This Open Men's Group is welcoming to all who attend regardless of their race/ethnicity, ability, socio-economic status, age, religion, or sexual orientation. Men will be asked to leave or removed from the group for disruptive or abusive behavior.

Mental Health Affirmation *

Yes

Anything said or done in this group is confidential. I commit to NOT recording any group meeting or gathering that I join. (I understand that the group facilitators are not bound by this agreement in the case of suicidal ideation or intentions to harm myself or others.)

Confidentiality Statement *

Yes