Request edit access
Hugs From Afar
Fill out the short form below to send a hug package from Press On 6!

P.S. We're a small and mighty team! After you submit your responses, a PO6 team member will send an email to connect with you within one week. :)
Sign in to Google to save your progress. Learn more
Your first and last name *
Recipient's first and last name *
Your email *
Recipient's email
Recipient's mailing address *
I am a:

Select all that apply. 
 *
Required
We love to personalize our Hug From Afar care packages and outreach! 

Are there any key dates or milestones your recipient likes to celebrate?

Examples could include: birthdays, remission or No Evidence of Disease (NED), cancerversaries, lab or scan results, and more.
If you and the recipient are comfortable, please share a little more about where they are in their journey with any details such as hobbies or dates they celebrate.

Examples of dates may include birthdays, remission or No Evidence of Disease (NED), cancerversaries, lab or scan results, and more. We are showing up for our community through and BEYOND blood cancer.

We ask this question to be intentional and thoughtful with what we include in the hug package! 
What's your favorite song that brings you joy?

We curate a Spotify playlist created by and for our community!
We connect with our Press On 6 community on social, too!

Feel free to share your instagram handle. :)
How did you hear about Hug From a Far or Press On 6?
Anything else you'd like to share with the Press On 6 team?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Press On 6 Foundation.

Does this form look suspicious? Report

Google Forms