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Outreach Activities

Outreach Activities

Outreach Activities

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Registration Form

Six Flags Registration Form

One of your parents have been diagnosed with cancer

Your Last and First Name

Birth Date * required

Street Address

City

Region/State/Province

Postal / Zip code

if you are under age 16, please provide name of accompanying adult (Last and First name)

Are you bringing a friend?

Friend's Full Name and age

Will siblings attend?

Siblings Names and ages

Will siblings bring a friend?

Siblings' Friends' Names and ages

Will parent/s attend?

Parent/s Full Name/s

Contact Email

Phone

I have read and agree to the terms & conditions of the waiver

Got it! We will send you a confirmation e-mail after we receive the nomination letter.

Champions Against Cancer

Champions Against Cancer, Inc., is a Howard County, Maryland-based 501(c)(3) charity registered with the state of Maryland. Champions Against Cancer was founded to provide financial support and resources to children and families battling cancer.

Email: championsagainstcancer@gmail.com

Phone: 301-509-5669

Mailing Address:
Champions Against Cancer
P.O. Box 115
Highland, Maryland 20777

Join our mailing list

Thanks for submitting!

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© 2025 by Champions Against Cancer. Website by ITS International

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