• Free to Live Membership Application

    Complete this membership application using the original form fields and consent/signature areas. Please answer all required items and provide accurate contact information.

  • As a Free to Live member, you become part of a community committed to your healing and growth. Members enjoy access to free and discounted services, priority notification and early registration for workshops and events, peer support circles, family-friendly programming, holiday and seasonal support, connections to trusted local resources, and members-only communications. When capacity allows, members may also access wellness partners, career and financial empowerment opportunities, and pathways to volunteer and lead. Above all, you'll have a community that sees you, celebrates your milestones, and walks alongside you on your journey.

    What's Coming Up for Members

    Live Free Academy | Cohort 1 begins Tuesday, October 27, 2026

    Live Free Academy is Free to Live's free, 48-week program for survivors of domestic violence, walking alongside you through housing, healing, employment and financial independence. Cohort 1 has 25 seats: 15 in person in Irving, Texas, and 10 online for survivors located in Texas. The cohort meets every Tuesday from 6:00 PM to 8:50 PM through October 2027, and dinner is provided every week for those attending in person, catered by OMG Cakes & Southern Best Catering, LLC. Membership is the first step. After you submit this application, you'll see a link to apply for the Live Free Academy. Please use the same email address on both forms.

  • Application / Contact / Eligibility

  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Permission to leave voicemail or send a text to this number*
  • Preferred Method of Contact*
  • Eligibility & Consent*

  • Membership Details

  • Membership Option*
  • Date of Birth
     - -
    2 digit month, 2 digit day, 4 digit year
  • Date of Birth
     - -
    2 digit month, 2 digit day, 4 digit year
  • Date of Birth
     - -
    2 digit month, 2 digit day, 4 digit year
  • Date of Birth
     - -
    2 digit month, 2 digit day, 4 digit year
  • Programs of Interest
  • Preferred Start Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Communication Preferences

  • Additional Information

  • Which types of support would be most helpful to you?

  • Final Agreements and Signature

  • Acknowledgment
  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: