Empathy Circle Confidentiality and Attendance Agreement
Oct 13, 2026 By signing, each participant agrees to keep everything shared in the empathy circle private and to make every effort to attend all sessions of the series.
Parties
This agreement is between Ingrid Hirtz (the Facilitator) and the person signing below (the Participant), for the online Pilot Empathy Circle for a Paid Mutual Support Circle, which meets for six sessions starting October 15. Sessions are every Thursday excluding October 29 and November 26.
Confidentiality
The Participant agrees to keep private everything said or shared in the Circle, including who took part, and not to repeat it outside the Circle in any form, including online. The Participant will not record or screenshot any session and will join from a private space. They may talk about their own experience, but not about what others said or who they are.
This does not cover information that is already public or that the Participant knew beforehand. It does not stop disclosures required by law or needed to prevent serious harm.
Attendance
The Participant is asked to attend all sessions, on time. If they will miss a session, arrive late, or leave early for any reason, please tell the Facilitator as soon as possible at ingridhirtz@gmaila.com. No reason is needed. This is a request, not a condition of confidentiality.
About the Circle
The Circle is peer listening, not therapy or crisis support. Participation is voluntary, and the Participant confirms they are 18 or older.
General Terms
Governing law. This Agreement is governed by the laws of the State of California, without regard to its conflict-of-laws rules.
Confidentiality continues after the series ends. A breach may lead to removal from the Circle and a court order stopping further disclosure. If any part is unenforceable, the rest stays in effect. Typing a name or clicking to sign electronically counts as a handwritten signature under the federal E-SIGN Act and state UETA.
Signatures
By signing, I agree to the terms above.
Participant Facilitator
Signature:
Printed full name:
Email address:
State of residence:
Date signed: