Are you registering as the patient or on behalf of the patient?
*
Please Select
Patient
On Behalf of Patient
Name
*
First Name
Last Name
Email
*
example@example.com
Patient Name
*
First Name
Last Name
Patient Email
*
example@example.com
Patient's birthday
*
-
Month
-
Day
Year
Phone Number
*
Format: (000) 000-0000.
Number of Tickets Including Yourself
*
Please Select
1
2
*Reminder: we can provide up to 2 tickets total per family.
If you are in need of extra tickets, do you wish to be placed on a waitlist?
Please Select
Yes, place me on the waitlist!
No, I do not need extra tickets at this time.
We can’t promise extra tickets. If any are released, we’ll notify families on the waitlist in the order received.
Number of EXTRA Tickets
Please Select
1
2
*Reminder: we can provide up to 2 tickets total per family. By answering this question, it will provide the needed information in order to add you to the waitlist. Please note, you can also buy additional tickets directly from the Texas Rangers.
Would you like to reserve 1 parking pass for Lot D?
*
Yes
No
Will you need handicap seating? Wheelchair-accessible seating is available upon request, and based on availability.
*
Yes
No
Have you attended a Rutledge Cancer Foundation event before?
*
Yes
No
Registered but was unable to attend
How did you hear about this event?
*
Email
Patient Newsletter
Facebook
Instagram
MyChart System
Hospital where You're Being Treated
Community Partner
Are you currently receiving treatment?
Yes
No
Location(s) Where You Are Currently Received Treatment
*
Baylor Scott and White All Saints FWAYA
Cook Children's Fort Worth
Center for Cancer and Blood Disorders
Dallas Children's
JPS Oncology and Infusion
Moncrief
MD Anderson
Texas Oncology
UT Southwestern / UTSW
Other
Location(s) Where Have Received Treatment
*
Baylor Scott and White All Saints FWAYA
Cook Children's Fort Worth
Center for Cancer and Blood Disorders
Dallas Children's
JPS Oncology and Infusion
Moncrief
MD Anderson
Texas Oncology
UT Southwestern / UTSW
Other
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Help us expand our services, if you have ever received a resource or service from RCF, let us know!
RCF Patient Event
Carley's Closet New Diagnosis Bag
Carley's Closet Holiday Stocking
Carley's Closet Pouch
Fertility Preservation
Forever Fit at HSC
I have not utilized services yet as I am a new patient.
Submit
Questions about this event? Email lauren@rutledgecancerfoundation.org
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