Welcome to the Abtaluna - Parent Form
Cancer is a battle we fight altogether. We are here to support one another. Please note that the data will remain confidential at Abtaluna and it will never be shared or misused.
Kindly note that there are a few questions related to your child - please rest assured that the data will never be shared. These data points only assist Abtaluna in ensuring that you receive or give support based on your experience.
Your Full Name  *
Gender *
Your Child's Full Name  *
Phone number *
Email *
Which emirate do you reside in? *
What applies to your superhero? *
Please tell us more about your child. Their age, type of cancer, date of diagnosis, current phase etc.. *
At which hospital is/was your child getting treated? *
What applies most to you? *
What applies to you? *
What kind of events do you recommend Abtaluna to focus on? Are you able to support by suggesting contacts, venue suggestions, sponsors or guest speakers?  *
Any other remarks/questions/suggestions? We're all ears
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