Re-Shaping our Cancer Stories Application Form

A cancer diagnosis may change the trajectory of our lives. Our life story may need reshaping; grief and loss need acknowledging.

This innovative program will give opportunities to work deeply with questions of identity and the “current now” in the midst of a caring community.

Through live, online gatherings, video segments, and supporting materials, we will integrate the natural world, simple art-making, yoga, sound, and discussion circles as we travel through our stories to chart a fresh course.

Simply come with an open heart and a playful spirit. Most of the materials you will need will be mailed to you.

This program is for those living with cancer.

This initiative is supported by a generous grant from the Ontario Trillium Foundation.

First Name

Last Name

Gender/Pronouns:

We will mail you a welcome package so please be specific and double check it's correct.

Street Address

Unit # / Apt # / Suite #

Town/City

Province/State

Postal Code

Country

Phone Number

Your Birthday

What is your current diagnosis? (please be specific)

Are you currently in treatment?

Are there any movement limitations you might have re: restorative yoga or body work that we should know about?

Have you participated in a Brooksong Retreat & Cancer Support Centre program before? If yes, which program?

We are hoping that you are open to completing all independent activities, seeing the program through until the end, and providing helpful input about your experience that we can use to improve our future programs? Is there anything we can provide/do to ensure this is possible for you? (we value your opinions and wisdom)

Is there anything else that you would like us to know?

Re-Shaping our Cancer Stories Application Form

Stay up to date with Brooksong.