Request edit access
Supporting Shagah with Love and Care
Thank you for being part of Shagah’s community of love and support.

As she prepares for another round of cancer treatment — her fourth — our family wants to make sure she feels surrounded by care, but also protected from overwhelm.

This form helps us gather messages, organize support, and keep communication streamlined so that nothing gets lost and no one feels left out. To help keep her space peaceful and uncluttered, please hold off on sending items or gifts.

Right now, we don’t have all the answers about what she’ll need — but if you’d like to send words of encouragement, receive updates, or help when the time comes, please fill out the form below. Thank you for the support you've given Shagah and our family all these years. 💛

Visit our site for more ways to support. 
Sign in to Google to save your progress. Learn more
Name
Best way to reach you
Clear selection
Email
Phone
Would you like to receive updates on how Shagah is doing?
Clear selection
Would you like to offer any support at some point during her treatment and recovery?
We will reach out with more details and instructions!
Would you like to share a message or note for Shagah?
This could be a few words of encouragement, a poem, a memory, or anything from your heart.
Messages may be shared with her directly, collected into care packages, or saved for days when she needs a lift.
Anything else you’d like us to know?
Thank you for taking the time to fill this out. Your presence and love mean so much. We’ll reach out when we have clearer ways for folks to plug in — until then, please keep Shagah and our family in your thoughts. 💜
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms