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Registration: Young & Strong's 20th Annual Forum for Patients, Survivors, and Loved Ones

Join us for a day of learning and connecting with the young breast cancer community.

Young and Strong is a community who intimately understands - whether they've "been there" themselves, loved someone through it all, or have dedicated their work to supporting the unique needs of young adults with cancer. 

This educational and social event is designed to connect you with Dana-Farber experts and build community with peers. Learn more about this event.

Registration is required to attend.
Please register by Friday, September 30.

If you have any questions, please email: youngandstrong@dfci.harvard.edu

The Day's Agenda:

* There will be separate discussion sessions for those with stage 0-IIIc breast cancer and those with metastatic (stage IV) breast cancer.
** Co-facilitated by Keynote Speaker Dame Lesley Fallowfield, this engaging workshop will discuss practical tips and strategies for "caregivers" to support their loved one with breast cancer and for patients to support their loved ones.

Your First Name:

* must provide value

Your Last Name:

* must provide value

Your Email Address:

* must provide value

Which best describes you?

* must provide value

Young and Strong Community Member (any young adult diagnosed with breast cancer)

Loved One to a Young and Strong Community Member

Other (medical professional, resource expo participant, etc.)

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Please specify:

* must provide value

What is the name of the Young & Strong member you will be attending with?

* must provide value

What is your relationship to them?

* must provide value

Partner/Spouse

Parent

Adult Child

Sibling

Friend

Cousin

Other

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Please specify:

* must provide value

What is your age?

* must provide value

18-29 years old

30-39 years old

40-44 years old

45+ years old

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Please choose which treatment expert panel you would like to attend.

* must provide value

Managing Active Treatment for Stages 0-IIIc Breast Cancer

Survivorship Care Post-Treatment for Stages 0-IIIc Breast Cancer (this panel includes long-term hormonal therapy)

Living with Metastatic Breast Cancer (Stage IV)

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Please choose which education session you would like to attend.

* must provide value

Fertility and Pregnancy after Breast Cancer

Updates in Breast Cancer Research

Navigating Parenthood with Stages 0-IIIc Breast Cancer

Strengthening Ties: Loved Ones Supporting Each Other*

Expressive Arts

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Please choose which education session you would like to attend.

* must provide value

Fertility and Pregnancy after Breast Cancer

Updates in Breast Cancer Research

Navigating Parenthood with Stages 0-IIIc Breast Cancer

Strengthening Ties: Loved Ones Supporting Each Other*

Expressive Arts

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Please choose which education session you would like to attend.

* must provide value

Fertility and Pregnancy after Breast Cancer

Updates in Breast Cancer Research

Navigating Parenthood with Stages 0-IIIc Breast Cancer

Navigating Parenthood with Metastatic (Stage IV) Breast Cancer

Strengthening Ties: Loved Ones Supporting Each Other*

Expressive Arts

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Please choose which education session you would like to attend.

* must provide value

Updates in Breast Cancer Research

Navigating Parenthood with Metastatic (Stage IV) Breast Cancer

Strengthening Ties: Loved Ones Supporting Each Other*

Expressive Arts

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Please choose which breakout session, led by a social worker, you would like to attend.

* must provide value

Coping as a Loved One (of Someone With Stage 0-IIIc Breast Cancer)

Coping as a Loved One (of Someone With Metastatic, Stage IV, Breast Cancer)

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Please choose which breakout session, led by a social worker, you would like to attend.

* must provide value

Life During Active Treatment for Stages 0-IIIc Breast Cancer

Facing Forward After Treatment for Stages 0-IIIc Breast Cancer

Living with Metastatic Breast Cancer (Stage IV)

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Please submit any questions you have for the "Managing Active Treatment for Stages 0-IIIc Breast Cancer" Panel:

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Please submit any questions you have for the "Survivorship Care Post-Treatment for Stages 0-IIIc Breast Cancer" Panel:

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Please submit any questions you have for the "Living with Metastatic Breast Cancer (Stage IV)" Panel:

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Please submit any questions you have for the Wellness Panel (specifically involving exercise, nutrition, sexual health, menopause, and integrative therapies).

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Lunch and other refreshments will be served at this event. Do you have any dietary restrictions/preferences?

* must provide value

Yes

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If yes, please specify.

* must provide value

Are you interested in connecting with other attendees ahead of the event?
(If yes, we plan to send a group email two weeks prior to the event)

* must provide value

Yes

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Do we have permission to share you email address with them?

* must provide value

Yes

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Is there anything else you would like us to know?

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Lastly, you are invited to bring a loved one who has been a source of support for you throughout diagnosis, treatment, and/or post treatment to this event.

The Young and Strong Team looks forward to seeing you on Friday, October 18!
Please click submit to complete your registration.

Are you planning on bringing a plus one?

* must provide value

Yes

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Wonderful; so happy you're bringing a loved one with you!
Please have them fill out a separate registration form.
The Young and Strong Team looks forward to seeing you both on Friday, October 18!
Please click submit to complete your registration.

The Young and Strong Team looks forward to seeing you on Friday, October 18!
Please click submit to complete your registration.

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.

Registration: Young & Strong's 20th Annual Forum for Patients, Survivors, and Loved Ones

Planning Your Day:

Questions for the Experts:

A few final details...

Lastly, you are invited to bring a loved one who has been a source of support for you throughout diagnosis, treatment, and/or post treatment to this event.

The Young and Strong Team looks forward to seeing you on Friday, October 18!
Please click submit to complete your registration.

You have selected an option that triggers this survey to end right now.

Registration: Young & Strong's 20th Annual Forum for Patients, Survivors, and Loved Ones

Planning Your Day:

Questions for the Experts:

A few final details...

Lastly, you are invited to bring a loved one who has been a source of support for you throughout diagnosis, treatment, and/or post treatment to this event.

The Young and Strong Team looks forward to seeing you on Friday, October 18!Please click submit to complete your registration.

You have selected an option that triggers this survey to end right now.

The Young and Strong Team looks forward to seeing you on Friday, October 18!
Please click submit to complete your registration.