Lift As We Climb Application

Apply to join the Life As We Climb Growth Circle Sept 16, 2026
Name

First NameLast Name
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Age Range
Occupation
How did you hear about this group?
What are you hoping to gain from participating in the Lift As We Climb Growth Circle?
What inspired you to apply for Lift As We Climb?
What strengths will you bring to the group?
What strengths will you bring to the group?
What season of life are you currently navigating? (check all that apply)

Other
Have you previously participated in therapy?

Other
Are you requesting a Community Access Scholarship?

Other
Would you like to receive occasional updates about future groups, workshops, retreats, and community events from Dream Life Out Loud?
Any additional comments or information you would like to share?
Thank you for taking the time to share your story. We review each application thoughtfully to create a group where participants can feel supported, challenged, and connected. You can expect to hear from us within 5–7 business days regarding next steps.
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Apply to join the Life As We Climb Growth Circle Sept 16, 2026