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Pickles Virtual Connect - Family Registration
Sunday, December 12th, 2021 | 2:00 - 4:00 PM
Zoom link and details to follow
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Please name parent(s)/caregiver(s) who will be in attendance and their relationship to the child(ren):
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Please list child(ren) name(s) and grade or age(s) who will be in attendance:
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Please provide any details about the parent's cancer experience that would be helpful for us to know including which parent/caregiver, type of cancer, date of diagnosis, and current circumstances:
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Best home address to deliver materials:
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Any dietary restrictions or special considerations? If yes, please explain.
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How did you hear about this event?
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Pickles staff/Website
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