25-26 Sign Up Form

Program Sign Up Form

August 2025- June 2026
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Creative Arts Book Club: Glioma Cohort Tuesdays starting Nov 25th @ 2-4 pm PT/4-6 pm CT/5-7 pm ET📚✨ 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

January Art Workshop: Zine & Be Seen Thursday, Jan 29 | 4pm–7pm PT / 6pm–9pm CT / 7 pm–10pm ETReady to make something tiny, mighty, and totally your vibe? This month, we’re diving into the world of zines: miniature DIY booklets that are part scrapbook, part journal, part magazine, part chaotic brain dump, and entirely yours. With images to cut up, stickers, markers, washi tape, and all the creative goodies we’ll mail straight to your door, you’ll craft a pocket-sized zine that holds whatever you’re carrying right now: hopes, reminders, playlists, doodles, rants, affirmations, visions, or even things you don’t have words for yet.
$ 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)BrainBrain- GliomaBreastCervicalChronic 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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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.