TC Virtual Paint Night
Saturday, October 24 @ 5pm

Join us for a fun evening painting a Fall Pumpkin Harvest Moon, with the guidance of one of our Teen Connection Grads, Andrea.

All paint supplies will be provided by Childhood Cancer Foundation

Sign up by: FRIDAY, OCTOBER 16

Teen Connection ("TC") is a program of Childhood Cancer Foundation of Southern California geared to providing monthly support meetings/trips to adolescents ages 14-18 diagnosed with cancer. This program provides ample opportunities for teens diagnosed with cancer to meet with youth and adult facilitators to enjoy life as a teen, socialize, share experiences and receive peer support. All events are available to teens at no cost to them. To learn more or to register with Teen Connection, visit our website:
Teen Patient's First Name: *
Teen Patient's Last Name: *
Address: *
We will be delivering / mailing out the Paint Supplies to this address
Contact Phone: *
May We Send You Text Notifications?
Clear selection
Contact Email Address: *
I (the parent) allow my child to access and participate the TC Virtual Paint Night via ZOOM. I also understand that if my child can no longer participate, that I must notify CCF and return the unused paint supplies ASAP, so another teen may use them. *
PARENT'S FULL NAME (This serves as an electronic signature)
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy