Cancer Dojo Pilot Warriors 🥋

Thanks for your interest in becoming an early app tester. Version 1 of the app is finally up and running (with a few rough edges) but we're pretty much ready for you to give it a spin.

For us to process your application, please complete the form below.

Once your application has been submitted, we'll review and then pop you a note with next steps 💪

App Tester's details
First Name *
Your answer
Last Name *
Your answer
Email Address (the one you'll use to login to the app) *
Your answer
Phone number (e.g. +27830001111) *
Your answer
Age *
Your answer
Country *
Your answer
Are you: *
Phone model
I'm willing to be contacted by phone for feedback on the app *
More about you
If you can, please can you tell us a little bit more about your situation. e.g. Cancer type, stage, method of treatment, interests etc.
No need to go into too much detail if it's too much to ask 🙂
Your answer
Never submit passwords through Google Forms.
This form was created inside of Cancer Dojo. Report Abuse - Terms of Service