Member Participation Form

Thank you for signing up to attend Gilda’s Club Minnesota programming! Before your session, please fill out the Member Participation Form below and read our Release and Waiver of Liability to participate in our programming.

Why do we ask for this information? This form helps us gather information:

  • On your preferences for communicating with you
  • To better understand what brings you to Gilda’s Club and how cancer is impacting your life
  • To provide us a snapshot of our current membership to inform our program planning and funding

Release and Waiver of Liability

Please thoroughly read the following Release and Waiver of Liability. You may download this document to keep for your records. 

Gilda’s Club Minnesota Release and Waiver of Liability

By signing at the bottom of the page, I acknowledge that I have read and understood all of the terms of the release and voluntarily give up substantial legal rights, including the right to sue Gilda’s Club Minnesota.

Member Participation Form

All personal information will be kept confidential. THANK YOU!

For questions, please call us at 612-227-2147.