Supporting Young Adults with Cancer in Australia

Finding a mate you can talk to who is your age with similar interests and coping with the same disease can seem almost impossible. Through the ‘mates in my shoes’ program you can connect with other patients, survivors and caregivers who agree to exchange information and support, and who share other commonalities such as cancer type, time since diagnosis, interests, profession, pasttimes, musical taste and geographic location.

Contact will be made with someone who meets your criteria through email, you may then decide yourself if you want to exchange address and telephone numbers to make other forms of contact. We will be trying to link you up with people in your state, therefore you can have an easier opportunity of meeting face-to-face. We also hope that through this program support groups can be formed around Australia, and we at The Warwick Foundation want to help to facilitate these groups and provide information and resources that suit the needs of a young adult on their cancer journey.

If you are willing to share your journey with other young adults please fill out your details below.

First Name
Last Name
Sex	MaleFemale
	Patient Survivor Caregiver
Coping with:
Date Diagnosed
Date of Birth

Interests:	General: Arts/Crafts Astrology/New Age Athletics Baseball Softball Billiards/Pool/Darts Boxing/Wrestling Cars/Motorcycles Computers/Internet Cooking Cricket Cycling Dancing Food and Wine Football/Soccer/Rugby Gardening Golf Gym/Aerobics Hiking/Camping Ice/Snow Sports Literature/History Martial Arts Motor Racing Mountaineering Movies/Cinema Museums/Galleries Nature Nightclubs/Clubs	Politics Religion Sailing/Boating Shopping Singing/Playing Instrument Tennis/Racket Sports Theatre/Ballet Travel/Sightseeing Volleyball/Basketball Volunteer/Charity Water Sports Yoga/Meditation Musical Taste: Alternative Blues/Jazz Christian/Gospel Classical/Opera Country Dance Heavy metal New Age Pop/R&B Rock World

Occupation:
What additional comments, experiences or ideas would you like to share?
Would you be interested in any of the following
Being notified about site updates and events?	Yes No
Holding a fundraiser for The Warwick Foundation	Yes No
Donating skills or services to The Warwick Foundation	Yes No
If yes, what skills or services can you provide?
How did you here about The Warwick Foundation?
Your Contact details
*E-mail address
Alternate e-mail address
*Street address
* Suburb
* State
* Postcode

	I am a member of the Warwick Foundation I would like to become a member of The Warwick Foundation I might join later I have read and understood The Warwick Foundation privacy policy