The Saskatchewan Cancer Agency can provide cancer prevention information at events. We can provide a presentation, a display/booth, or a custom approach for your event.

We provide information on the following topics:
· Cancer screening (breast, cervical and colorectal)
· Sun safety
· General cancer prevention

Please fill out this form with as much detail as possible. If you do not know some details yet, you can still submit this form. If we require more information, we will contact you.

If you would like to contact us, please email PopHealth@saskcancer.ca
EVENT CONTACT INFORMATION

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1. Date form completed:

Date

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2. Name of event:

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3. Organization/Affiliation:

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4. Contact person's name/role: (Required.)

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5. Contact phone number: (Required.)

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6. Contact email address: (Required.)

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7. Organization/Event website:

EVENT DATE, TIME & LOCATION

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8. When is the Event? (if event time is not known yet, set start and end time as 00:00) (Required.)

Date
Time
Date
Time

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9. Event location/address:

EVENT PARTICIPATION STYLE

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10. Which topic(s) do you want the Saskatchewan Cancer Agency to share information on at this event (choose all that apply): (Required.)

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11. Which of the following would you like the Saskatchewan Cancer Agency to provide at this event? (choose one) (Required.)

EVENT DESCRIPTION DETAILS

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12. Agenda/Timeline (option to upload a file at the end of the form):

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13. Overall purpose/focus of event:

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14. Is there an associated cost for the Saskatchewan Cancer Agency to participate in this event?

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15. Setting of event:

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16. Overall format of event:

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