KIDS WEEK PRE-REGISTRATION

Complete the form below to start the registration process. A staff member will reach out to schedule a phone call and share more about Kids Week.
You can also start the process by contacting us at 865-546-4661 during business hours.

This field is for validation purposes and should be left unchanged.

Date

Name of Child's Parent or Guardian(Required)

First Last

Child's Name(Required)

First Last

Child's Date of Birth(Required)

Fall 2026 Grade in School(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent/Guardian Phone(Required)

Alternate Phone

Parent/Guardian Email(Required)

Who in the family has cancer?(Required)

Please note below if there are better times or days to contact you to complete registration.

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Cancer Support Community East Tennessee is a 501 (c) 3 charitable organization

EIN Number: 58-1846210

View our 2025 Impact Report

Contact Us

(865) 546-4661

The Rachael Young Center
6204 Baum Drive
Knoxville, TN 37919

info@cancersupportET.org

Fax: (865) 522-0938