Membership Registration Form

Therapeutic Community Membership Registration

Complete the form below to sign up for our membership service.
Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Where did you hear about us?

A Friend or colleaugeGoogleBlog PostNews ArticleOther
What are your goals for membership? (Select all that apply)*

Spiritual health & GrowthOvercoming "burn-out"Professional advancementMentorship & SupportDealing with Difficult Family needsMotivational-coachingPhysical health as a PriorityMaintaining Mental health in a demanding professionSuccess in EntrepreneurshipMaking time for YOU!Other- please explain below
Please explain any additional goals for membership here.
Preferred way to contact

PhoneEmailVideoAny
MEMBERSHIP BENEFITS
- Each member is entitled to access to the therapeutic community 24 hours a day 7 days per week.
- Each member is entitled two 30 minute 1:1 private sessions every month with community leader and mentor online or in office (at Gainesville location) at an agreed pre-scheduled time.
- Each member is entitled to access all Really Necesary blogs, videos and teaching webinars via community portal.
- Each member is entitled to access to Really Necessary community gatherings and social functions. (Member will be responsible for cost of travel & lodging if applicable).
- Each member will receive weekly individualized email with reminder for target goal for the week based on member created strategic success plan.
Membership Rules

Therapeutic community guidelines
1. Membership is available to anyone licenssed as a Registered Nurse (RN) or Nurse Practitioner (APRN). Must be 18 years of age or older.

2. Members promise NOT to use private membership community platform to conduct any fraudulent business activity.

3. All members are required to communicate and respond to fellow members with appropriate civilized language and consideration for everyone to verbalize their own individualized perspective in discussion forum.

4. All members are required to agree to automated monthly payment. Membership may be cancelled at anytime and is all fees are non-refundable.
Acknowledgement Statement

I have read, understood, and accepted the rules for membership.

My Products*

MembershipReally Necessary monthly membership

$75.00 Quantity
Item subtotal:$0.00

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Privacy Policy
We WILL NOT use, provide or share your information with any person, organization or entity outside of private membership community.
Acknowledgement statement

I have read, understood, and accepted the PRIVACY POLICY for membership.
Please Upload copy of your professional licensure

Cancelof
Signature

Clear
Once you submit your application, Dr. Grant will contact you within 24hrs to verify your membership application and provide introduction to our exclusive community.

Thank you!
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Therapeutic Community Membership Registration

Membership Rules

Payment Methods

Privacy Policy