Survivor's Day Celebration - 2024 Registration

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Please complete the form below to register for the celebration on Sunday, June 2, 2024 in the Morris Lawrence Building at Washtenaw Community College (4800 E Huron River Drive, Ann Arbor, MI, 48105).

Survivors Day is open to anyone impacted by cancer. So please free free to bring your family, friends, loved ones, or anyone touched by cancer.

More Information: https://www.cancersupportannarbor.org/survivorsday/

We look forward to seeing you there!

First Name *

Last Name *

Address *

City *

State *

Zip Code *

Email *

Phone Number *

I am participating because (check all that apply)

I have/had cancer

I am a caregiver

I am a healthcare professional

Other:

If you have/had cancer, what type of cancer is/was it?

Total number of attendees (including you) *

Please add me to the Cancer Support Community of Greater Ann Arbor Mailing List

Yes

Already on the Mailing List

Other:

Clear selection

Please remove me from the Cancer Survivors Day Mailing List

Yes

Other:

Clear selection

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