Re-Shaping our Cancer Stories Application Form
A cancer diagnosis may change the trajectory of our lives. Our life story may need reshaping; grief and loss need acknowledging.

This innovative program will give opportunities to work deeply with questions of identity and the "current now" in the midst of a caring community.

Through live, online gatherings, video segments, and supporting materials, we will integrate the natural world, simple art-making, yoga, sound, and discussion circles as we travel through our stories to chart a fresh course.

Simply come with an open heart and a playful spirit.  Most of the materials you will need will be mailed to you.

This pilot program is for those living with cancer, with the option for a support person to participate through some off-line, independent activities.

This initiative is supported by a generous grant from the Ontario Trillium Foundation.
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First Name: *
Last Name: *
Gender Identity:
Street Number and Name and Apartment Number (We will mail you a welcome package so please be specific and double check it's correct) *
City/Town (We will mail you a welcome package so please be specific and double check it's correct) *
Province and Country (We will mail you a welcome package so please be specific and double check it's correct) *
Postal Code (We will mail you a welcome package so please be specific and double check it's correct) *
Email Address: *
Phone Number: *
What  is your current diagnosis? (please be specific) *
Are there any movement limitations you might have re: restorative yoga or body work that Miriam, our yoga therapist should know about? *
Have you participated in an Abbey Retreat Centre program before? If yes, which program? *
Would you like to bring a support person with you into this program? *
If yes, please provide the first name and last name of the support person:
If yes, please provide the email address of the support person:
This is a pilot program. We are hoping that you are open to completing all independent activities, seeing the program through until the end, and providing helpful input about your experience that we can use to improve our future programs? Is there anything we can provide/do to ensure this is possible for you? (we value your opinions and wisdom) *
Is there anything else that you would like us to know? *
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