Family Connect
Family Connect is a program designed to aid children (ages 5-18) in understanding and coping with a loved one’s cancer diagnosis. At the session, children will attend their own age-appropriate support group while parents/caregivers attend an adult group.
Full Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How many Children?
Ages of Children
How many Adults?
Name of Cancer Patient/Any Additional Information
One of the Cancer Family Care staff members will be in touch with you to complete your registration for this event.
If you have any questions or concerns, you can contact our main office at 513-731-3346.
SUBMIT
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