I Will Survive, Inc Event Interest (November)
Hello Survivor!

Thank you for continuing to be an amazing client of I Will Survive, Inc! We are constantly ensuring that we are providing the best services possible from economic assistance, prevention, and health education. We will be implementing a new event calendar that will provide up to date events that will occur each month. Please be sure to be on the look for it at the end of the previous month for the current month. We will be using this form to register for all upcoming events.

Your answers to this event interest form are confidential. Please be sure to provide correct information for us to be able to send you Zoom links for webinars and additional information for in-person events.

If you have any questions, please contact Sierra Scarbrough, Program Director at sierra.scarbrough@iwillsurviveinc.org
Sign in to Google to save your progress. Learn more
Please select all events that you would like to attend *
Required
Name *
Email *
Race
Clear selection
County of Residence *
Are you a current client or new client of I Will Survive Inc.?
Clear selection
Are you currently diagnosed with breast cancer or in remission?
Clear selection
How did you hear about I Will Survive Inc.? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy