Fill out our participant enrollment form

Registering as a new participant at The Gathering Place helps us understand how we can best support you at this time through our free programs and services.

Adult Person with Cancer

Enrollment Form

Adult Caregiver and Support

Enrollment Form

Adult Grief and Loss

Enrollment Form

Child with Cancer

Enrollment Form

Child Caregiver and Support

Enrollment Form

Child Grief and Loss

Enrollment Form

Have Questions?

If you have additional questions or would like to connect with someone by phone, please contact:

Beth Bennett, PT, RDN, LD, MS, MA
Chief Program Officer
bennett@touchedbycancer.org
216-455-1517