ICCD Participation Form
FULL NAME
*
First Name
Last Name
EMAIL
*
example@example.com
I'AM
*
Survivor
Advocate
Parent
NGO
Patient
Healthcare Professional
Other
ACTION DESCRIPTION
*
ACTION ATTACHMENT
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of
I TOOK THIS ACTION TO TACKLE
*
Prevention and Early Diagnosis
Access to care
Access to innovation
Patient/family support
Long-term Follow up Care
Healthcare professional development
Advocacy
Survivorship
Ethics
Other
GDPR COMPLIANCE
*
Accept
SIGN ME UP FOR NEWS AND UPDATES
*
CCI Newsletters
SIOP Newsletters
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