Request Class or Program Registration

Request to be registered for a program or class

By completing this form, you are asking to be registered for a class or program listed on our online calendar.  You may enter multiple classes or programs that you would like to attend. Cancer CAREpoint will contact you to confirm your registration.

Note: For accessibility we make the website viewable in multiple languages.  We are only able to read and respond to forms written in English or Spanish.

Is it OK to leave a voicemail?

Would you like to register for an additional class?

Would you like to register for an additional class?

Would you like to register for an additional class?

Would you like to register for an additional class?

12 + 15 =

Call our
Community Helpline:
408.402.6611