FFCC Mom Retreat
IMPORTANT UPDATE: ALL SPOTS HAVE BEEN FILLED, SO ANY FURTHER REGISTRATIONS WILL BE PLACED ON THE WAITING LIST. THANKS!

You have been invited to attend the Mom Retreat for bereaved moms hosted by Families Fighting Childhood Cancer on October 25-27th, 2019. All of the activities provided will be voluntary and intended to help you reflect, relax & refresh. Please flil out the form below to register.

We only have 11 spots available so please register as soon as you can. If we receive more than 11 registrations, we will have a waiting list. We hope that this will become an annual event. After you register, if you find you are unable to attend, please contact us immediately so that we may contact someone on the waitlist to attend.

Families Fighting Childhood Cancer is provided by Oklahoma Family Network to provide support and resources. Thanks to a generous donation from Solace Church of Tulsa, OK, we are able to provide this retreat at no cost to you. We hope that you will join us.
First & Last Name: *
Your answer
Child's First & Last Name Who Had Cancer: *
Your answer
Phone Number: *
Your answer
E-mail Address: *
Your answer
Address: *
Street, City, State & Zip
Your answer
Emergency Contact: *
Name, Relation & Phone Number
Your answer
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