Talking Circles Support Group 
Gabby's Legacy Organization
This talking circles support group is for families (Parents, grandparents, and siblings) who have experienced a cancer journey within the last ten years who reside in Eastern North Carolina. 
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First and Last Name *
Relationship to Child *
Child's Name *
When was child diagnosed?  *
MM
/
DD
/
YYYY
Child's Cancer Status *
Meeting Preference *
What county in Eastern North Carolina do you live in? This helps us set up meetings where there are clusters of people for convenience.  *
What type of environment would interest you for a support group? *
Required
What days and times are optimal for you, considering your schedule? *
Required
Please provide your contact information for follow up: Email [add glo@gabbyslegacy.org to your contacts] *
Please provide your contact information for follow up: Phone Number *
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