WAITLIST for 25-26 Sign Up Form

WAITLIST Program Sign Up Form

It looks like the program you're trying to sign up for is already full! We always strive to accommodate as many participants as possible. In the event that we are unable to offer you a spot from our waitlist, please know that your sign-up helps inform us of the community's needs, and describe our need to expand programs at Cactus Cancer Society.
Email
example@example.com
Name

First NameLast Name
My Products
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WAITLIST- Cut, Paste, Reflect: Writing and Collage for Right Now
Mon May 18th 4-6pm/6-8pm CT/7-9pm ET

Free



WAITLIST- Through The Lens: Life Beyond YA Cancer LGBTQIA+ Edition
6 Weeks, Wednesdays June 3rd-July 8th 4-6pm PT/6-8pm CT/7-9pm ET

Free



WAITLIST- Shell Yeah: A Decoupage Workshop
Wed May 27th 4-6pm PT/6-8pm CT/7-9pm ET

Free
I am a...
Have you previously participated in any programs with Cactus Cancer Society?
Are you facing metastatic or chronic cancer?
What type of cancer were you (or the person you're caring for) diagnosed with?

Other
Where are you in your cancer experience?
Do you have any accessibility needs we can help accommodate?
If no, you can just leave this blank!
I am...
How do you racially identify yourself?
What is your gender?
What is your sexual orientation?
What best describes where you live?
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Street Address

Street Address Line 2

City

Zip Code
Street Address

Street Address Line 2

CityState

Zip Code
Street Address

Street Address Line 2

CityState / Province

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

Thank you!
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WAITLIST Program Sign Up Form

My Products*

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

My Products