Husson University School of Physical Therapy: Cancer Survivor Wellness Workshop
Thank you for your interest in the upcoming Cancer Survivorship Wellness Workshop put on by Husson University's School of Physical Therapy.  The goal of this event is to give cancer survivors the tools they need to improve their quality of life and take charge of their own diagnosis. 

All participants are welcome to attend the event on their own. However, each participant is also welcome to bring one additional person (spouse, friend, caregiver, loved one, etc.) to attend the event. 

Please fill out the following form. All of the information gathered on this form will only be used for registration purposes. This will allow us to adequately prepare for those in attendance at the event. No personal information will be shared. Thank you for filling out this form. We look forward to meeting you!
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Email *
Name of participant
Will you be attending the event in Bangor or Presque Isle?
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Will you be bringing anyone with you?
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Participant's phone number
Preferred method of contact
Are you currently receiving treatment for a cancer diagnosis, finished with cancer treatment, or looking to gain more information to help a loved one?
Is there anything specific you'd like to learn while at the workshop?
Do you have any concerns or questions that need to be answered prior to attending the workshop?
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