COPE-Navajo Nation Chinle Community Cancer Meeting Registration: February 20-21, 2018
Navajo Tribal Utility Authority
Conference Room
Chinle, AZ
Contact: Geri Henry
928-380-1681
geri@copeproject.org
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Mailing Address *
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City, State, ZIP *
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Chapter/town you will be driving from to attend the conference *
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Are you a cancer survivor? *
Are you or have you been a caregiver for someone affected by cancer? *
If you are/were a caregiver, and are comfortable sharing, please share your relationship to that individual you cared for (ex: family member, friend)?
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Where did you hear about this conference? *
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What days will you attend? *
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We will have a Wellness Walk at 7:30am each morning, are you interested in participating? *
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Dietary restrictions *
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