25-26 Sign Up Form

Program Sign Up Form

August 2025- June 2026
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example@example.com
Name*

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Programs Available: *
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October Builders: Phoenix Rising From The Bricks October 23rd @ 5pm-8pm PT/7pm-8pm CT/8pm-10pm ETLike a phoenix, young adult cancer survivors and patients know what it means to rise and rebuild. We are channeling that legendary bird energy into our next LEGO Builders Workshop, because sometimes the best way to honor resilience is one brick at a time.
$ Free



Hangin’ with My Pies: Pie Garland Workshop November 13th @ 4pm-6pm PT/6pm-8pm CT/7pm-9pm ETThis November, we’re serving up creativity with a slice of gratitude! 🥧 Join us for a cozy art workshop where young adults and their plus ones (caregivers, co-survivors, friends, or chosen family) will craft a festive pie garland together. With enough felt slices to share, you’ll leave with a handmade reminder of community, care, and plenty of pie puns. 🍂✨
$ Free



CAREGIVER/COSURVIVOR SIGN UP ONLY: Hangin' with My Pies: Pie Garland Workshop November 13th @4pm-6pm PT/6pm-8pm CT/ 7pm-9pm ETCAREGIVER/COSURVIVOR SIGN UP ONLY! This November, we’re serving up creativity with a slice of gratitude! 🥧 Join us for a cozy art workshop where young adults and their plus ones (caregivers, co-survivors, friends, or chosen family) will craft a festive pie garland together. With enough felt slices to share, you’ll leave with a handmade reminder of community, care, and plenty of pie puns. 🍂✨
$ Free



Creative Arts Book Club: Glioma Cohort📚✨ FOR YOUNG ADULTS FACING GLIOMA: YOUR STORY STARTS HERE ✨📚 Ready for a four-week creative adventure that makes space to express yourself, be heard, find your people, and help shape the future of glioma care? Together, we’ll explore how creativity can be both a calming force and a mighty tool for processing the twists, turns, and plotlines of life during and after cancer. You’ll be journaling, doodling, sketching, and sprinkling your own brand of artsy magic as we work through Out of Your Mind: A Journal and Coloring Book to Distract Your Anxious Mind by Dani DiPirro.
$ Free
[Psst! Is the program full that you wanted to sign up for? Register for our waitlist at cactuscancer.org/waitlist!]
I am a...*

young adult cancer patient/survivoryoung adult cancer co-survivor / caregiverother
Have you previously participated in any programs with Cactus Cancer Society?*

Yes, including this program!Yes, but not this program!No, it's my first time here!
Are you facing metastatic or chronic cancer?

MetastaticChronicNo / I Don't Know
What type of cancer were you (or the person you're caring for) diagnosed with?*

Acute Lymphocytic Leukemia (ALL)Acute Myeloid Leukemia (AML)BrainBreastCervicalChronic Myeloid Leukemia (CML)ColonColorectalEndometrialEsophagealEwing's SarcomaHodgkin LymphomaKidneyLeukemia (other)LungNeuroendocrineNon-Hodgkin LymphomaOsteosarcomaOvarianMelanomaMultiple MyelomaSarcoma (other)ThyroidTesticularUterineOther
Where are you in your cancer experience?*

newly diagnosed (haven't started treatment yet)in treatmentless than 1 year out of treatment1 year out of treatment2 years out of treatment3 years out of treatment4 years out of treatment5+ years out of treatmenta caregiverother
Do you have any accessibility needs we can help accommodate?
If no, you can just leave this blank!
I am...*

18-45 years old46+ years old
How do you racially identify yourself?*

American Indian or Alaskan NativeAsianBlack or African AmericanHispanic or Latinx or Spanish Origin of any raceMiddle Eastern or Northern AfricanNative Hawaiian or Other Pacific IslanderWhiteRace and Ethnicity UnknownPrefer Not to Disclose
What is your gender?*

Cisgender ManCisgender WomanNon-BinaryTransgender ManTransgender WomanPrefer Not to DiscloseOther
What is your sexual orientation?*

AsexualBisexualGayHeterosexualLesbianPansexualQueerPrefer Not to DiscloseOther
What best describes where you live?*

SuburbanUrbanRuralOther
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City

Zip Code
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CityState

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I understand Cactus Cancer Society does their very best to accommodate shipping requests, but cannot guarantee that supply packages will arrive in time. I agree to still come to the program if I don't have a package, to learn and connect with others like me. If I choose, I can request a list of supplies to try and replace on my own.*

Sounds good, I'm in!Nah- give up my space and I'll look at other programs to join!
By signing up, I agree to adhere to the attendance policy as follows: I understand that if I miss a single Workshop, I will not be allowed to participate in the following workshop I sign up for. I also plan on attending for the full two hours and agree to have my camera turned on in order to respect the Cactus Cancer Society's program capacity limits.*

Yes, I'm in!No, I'm kinda on the fence! Don't count me in!
Please verify that you are human*
If there's anything else you'd like us to know, please email us at programs@cactuscancer.org.

Thank you!
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Program Sign Up Form

[Psst! Is the program full that you wanted to sign up for? Register for our waitlist at cactuscancer.org/waitlist!]

If there's anything else you'd like us to know, please email us at programs@cactuscancer.org.