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Some of our programs require pre-registration.  The reason for this is because some activities are limited  by space and material costs.  We also like to place a reminder call to you a day or two prior to the activity.  Sometimes we need to notify people in the event of a cancellation due to unforeseen circumstances or bad weather.

Please fill out the following form and check those activities for which you wish to be signed up.
 

January / February Class Registration:

Please select the activities you would like to attend and fill out your information below.

January

February

Polarity Therapy - Jan 5, 11am-12noon Polarity Therapy - Feb 2, 11am-12noon
CCC Movie Day-"Julie & Julia" - Jan 5, 1-3pm Scrapbooking - Feb 2, 12:30-2pm
Look Good, Feel Better - Jan 11, 1-3pm Origami Cranes of HOPE - Feb 6, 11am-1pm
Scrapbooking - Jan 12, 12:30-2pm Look Good, Feel Better -Feb 8, 1-3pm
Chinese Cooking Class - Jan 16, 11am-12:30pm CCC Movie Day-"Chicago" - Feb 9, 1-3pm
B-I-N-G-O! - Jan 19, 1-3pm Valentine Workshop - Feb 10, 10:30am-12:30pm
Making Greeting Cards - Jan 20, 10:30am-12:30pm Indian Cooking Class - Feb 13, 11am-12:30pm
Reiki Treatments (CALL FOR APPT) - Jan 22, 3-4:30pm Angel Pins - Feb 17, 10:30am-12:30pm
Look Good, Feel Better - Jan 25, 5:30-7:30pm Reiki Treatments (CALL FOR APPT) - Feb 19, 3-4:30pm
Paint a Rockin' Chair - Jan 27, 10:30am-12:30pm The Gift of Comforting - Feb 20, 11am-1pm
  Look Good, Feel Better - Feb 22, 5:30-7:30pm
  B-I-N-G-O! - Feb 23, 1-3pm
  Laughter Therapy - Feb 24, 6-7:30pm
Cards Games & Lunch:
Jan 8     Jan 15     Jan 22     Jan 29     Feb 5     Feb 12     Feb 19     Feb 26  
 
First Name:  
Last Name:  
Phone Number:  
Email Address:  
Will you be bringing anyone with you?   No      Yes
If yes, please specify your
guest's name and the activity :
 
 
Comments:  

Participants will be signed onto the lists in the order received.  Each response is time-stamped.


Cancer Community Center
778 Main Street (Route One)
South Portland, ME  04106

 

Telephone: 
or Toll Free:
Fax:
Email:

(207) 774-2200
(877) 774-2200
(207) 773-9498
info@CancerCommunityCenter.org

 
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