Shine Cancer Support

Shine Camp 2017

Hi and thank you for taking the time to register for Shine Camp. There's no need to pay now, we'll send you details about payment in a few weeks.
Please fill in the form below to reserve you space.
First Name(*)
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Last Name(*)
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Address(*)
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County(*)
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Your Email(*)
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Phone(*)
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Gender(*)
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Date of birth(*)
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How many people are in your party?
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What type of cancer were you diagnosed with?(*)
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Date of 1st cancer diagnosis(*)
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How did you hear about Shine Camp?
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