One future participation arrangement
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Optional blank sheet. Use only where appropriate for your privacy and circumstances. Do not add identifying or sensitive details unnecessarily. This is not therapy, legal advice, a safety assessment or a crisis service.

The specific recurring situation:
____________________________________________________________________
____________________________________________________________________

What I am willing to participate in:
____________________________________________________________________
____________________________________________________________________

What I am not agreeing to:
____________________________________________________________________
____________________________________________________________________

A request I want to make, separately:
____________________________________________________________________
____________________________________________________________________

A legitimate realistic step I control:
____________________________________________________________________
____________________________________________________________________

Any formal duty, care requirement or right to check:
____________________________________________________________________
____________________________________________________________________

Whether stating or following the limit could be unsafe:
____________________________________________________________________
____________________________________________________________________

A practical review, only if wanted:
____________________________________________________________________
____________________________________________________________________

What the review will not promise:
____________________________________________________________________
____________________________________________________________________

How I will clarify the current arrangement without debating forgiveness:
____________________________________________________________________
____________________________________________________________________

Original educational worksheet — RelateWell Guide
Article: https://relatewellguide.com/articles/apology-forgiveness-set-boundaries-after-forgiving/
Editorial revision: 2026-11-04