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REGISTRATION FORM

Thank you for your interest in attending a Casting for Recovery retreat.

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Retreats are open to women:

 

  • who have or have had breast cancer

  • who have received their treatment in wider Canberra region

  • who have been cleared by their Doctor or Care Nurse as being able to participate

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Experience in fishing is NOT required.

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The retreat can accommodate twelve women only. Selection is based on date of registration and medical clearance to participate. Usually, one or two more women will be on stand-by, just in case there is a late withdrawal.

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If selected you will need to complete a Personal Details Form (e.g. food allergies, emergency contact, shirt size, transport requirements) and Medical Release Form which must be signed by your Dr / Care Nurse.

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Complete the form below and submit or print a registration form. If printing the form, you can either email to info@castingforrecovery.org.au     or post it to

Casting for Recovery
PO Box 3778
Manuka ACT 2603

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Register for a Retreat

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Thanks for registering for a retreat !

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