Creatively Restored Membership Application 
This is a monthly Zoom gathering with other like minded women who are desiring to heal from the past, cultivate a relationship with Christ and transform your life. It includes 24/7 Telegram Access to our private community, where you may connect, ask questions and get support on your journey and a FaceBook group with the monthly teaching transmissions.

All this, for FREE until May 2024. Enroll now to remain in the group for free until June 2024. Those who desire to remain will be signed up for our $5.99 monthly subscription, where you will continue to receive all the above benefits plus a chance to win a free 1:1 coaching session with Desiree!

*IF AT ANYTIME, FOR ANY REASON YOU NEED ASSISTANCE PAYING, PLEASE EMAIL US!*
Sign in to Google to save your progress. Learn more
Email *
First and Last Name *
Social Media handles (put n/a if none) *
Age Range:
*
Country your in: *
How would you best describe yourself? (Check all that apply) *
Required
Are you working in any way, and could you describe how?
*
Required
Please check the top 3 most important areas of mentorship and learning for you:
*
Required
Please check ALL that apply:
*
Required
UNDERSTANDING of this Community: This is not a high-level coaching/mentorship, but a community with access to Desiree Cummings, to community calls, and to teachings, trainings, and prayers to facilitate a closer relationship to God. In participating, you agree that  any "advice" you choose to receive and apply, is your personal responsibility; therefore you cannot make this community liable for any personal decisions you make from any "advice" that you willingly received (either as feedback or as input) from this community. You also agree that this community membership is NOT in any way "professional coaching" or "professional therapy" and that it is more of a private community with the presence of a trained facilitator (Desiree Cummings, LCSW), and not a place for diagnosis, therapy, etc.*
Check ALL Boxes for your Application to be considered
*
Required
How did you hear about Desiree?  *
Required
The investment for the membership is based on your demographic. Choose the option for you. For students: We will ask you to verify your enrollment at your school.
*
Passcode (if applicable)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy