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hAU3xAGqo9moceTZ8w6PrFXzJCMdvXqTPao

Registration for Parenting During COVID & Cancer Workshop (Tuesday, July 28th, 6-7:30 p.m. ET)

Join us for an interactive Q&A session focused on helping children and teens cope with a primary caregiver facing cancer and the pandemic. This will be co-led by Katelyn MacDougall, LICSW, a social worker with the Young-Onset Colorectal Cancer Center, and Larissa Hewitt, LICSW, a pediatric social worker with the Jimmy Fund Clinic. The intended audience for this program is parents and primary caregivers facing cancer while raising children and teens.

To register for the workshop, please answer the questions below. You will receive the Zoom link and instructions via email the day before the workshop.

In addition, this educational webinar created by Dana-Farber is another resource addressing the medical facts and information that may also be helpful to you and your family during this time.

First Name

* must provide value

Last Name

* must provide value

Are you a patient or a support person of a patient?

* must provide value

Patient

Support Person

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Which of these options best describes your relationship to the patient?

* must provide value

Spouse/Partner

Parent

Grandparent

Guardian

Other

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Please specify.

* must provide value

Are a parent or primary caregiver of a child with cancer?

Yes

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If you are a parent or primary caregiver of a child with cancer, this event will likely not be relevant for you. We are planning a separate event in the near future for parents of children being treated for cancer. Please provide your email if you wish to be contacted via email when this event is scheduled.

Will anyone else be attending this workshop with you?

* must provide value

Yes

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Who will be attending with you?

* must provide value

Partner/spouse

Parent(s)

Grandparent(s)

Guardian

Other

Partner/spouse name

Parent(s) name

Grandparent(s) name

Guardian name

Other name

Who will be attending with you?

* must provide value

Patient

Patient's spouse/partner

Parent(s)

Grandparent(s)

Guardian

Other

Patient's name

Patient's spouse/partner

* must provide value

Parent(s) name

Grandparent(s) name

Guardian's name

Other name

Your email address
(This is where the Zoom information will be sent.)

* must provide value

How many children are you caring for?

* must provide value

What are the ages of the children you are caring for?

* must provide value

What questions would you like to see addressed during the workshop?

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