PLEASANT GROVE SURVIVORS DINNER JUNE 2017

Name *
Name
Photography Waiver *
If you do not wish to be photographed at the dinner, please opt-out by checking the appropriate box below. Please note that images may be used for Honey marketing and social media, if you choose to be photographed.
Dietary Restrictions
We want to be accommodating of any food restrictions you may have. If applicable, please check any of the following that apply to you:
A Note *
By checking here, I understand that I am purchasing a ticket to Honey’s June 2017 Survivors Dinner and understand that the dinner will be a space for love, support and sharing for survivors of sexual assault and their supporters. I understand that any experience shared with the group must be respected and kept confidential. I also understand that the sharing of traumatic stories may be distressing and that Honey will have a professional crisis responder present should any attendee need attention in this regard.