Thank you for your interest in this event. To book a place, please complete all fields in the form below and press submit.

We’re committed to providing people affected by breast cancer with the highest-quality services. We need to have some information about you to make sure this is the right service for you, meet any particular needs you may have, and manage our relationship with you sensitively and appropriately.

We'll also use this information to help make sure our services are accessible to everyone, and to identify any areas where we may need to improve. Thank you so much for helping us.

If you provide details about your health or other sensitive information, we'll use it in the same way. If you no longer want us to use your information in this way, you can get in touch using the contact details at the end of this form to discuss withdrawing your permission.

If you experience any difficulties with this form, you can email us at youngerwomen@breastcancernow.org or call 0345 077 1893.

Please note, your place is not confirmed until you have received an email from us, letting you know you've been booked on to the event.

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About the event
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About you
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Address
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Diagnosis

The Younger Women with Secondaries Together breast cancer service is for people with a diagnosis of secondary breast cancer.

Secondary breast cancer is breast cancer that has spread beyond the breast and lymph nodes under the arm, to other parts of the body such as the bones, lungs, liver, or brain. It may also be referred to as metastases, advanced breast cancer, secondaries, or stage 4 breast cancer.

Support
Do you need any additional support to access the service?

If you have any questions about our online services, we can arrange for one of our friendly staff team to give you a call.

You might just want to know a little bit more about what the virtual meetings are like before you attend for the first time, or you might want us to talk you through how Zoom works, whatever your query we will do our best to help.

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Keeping in touch with Breast Cancer Now

We’d like to tell you about ways you can help further, including through donating, fundraising, campaigning and volunteering, and send you updates on our research, the support we provide, breast health information and our wider work to achieve our aims.

If you already hear from us, we will continue to contact you in the same way. If you don’t already hear from us, please tick the box if you are happy to be contacted by:

How we use your information

From time to time, we may contact you by telephone and post about Breast Cancer Now, to keep you updated on our work and ways you can help. You can change the way you hear from us at any time by emailing us at hello@breastcancernow.org or calling us on 0333 20 70 300.

To help us to work more efficiently, we may analyse your information to make sure you receive the most relevant communications, and to target our digital advertising. This may include using publicly available information. You can ask us to stop this at any time, by contacting us using the above contact details. You can read more about how we will use your information in our privacy policy.

Equal opportunities monitoring

Breast Cancer Now is committed to equality of opportunity for all. The following questions are not compulsory, but by giving us this information we can better meet our service users’ needs and make our services as accessible as possible.

Everyone affected by breast cancer can turn to us for support. So, we want to make sure that no one faces any barriers when using our services.

If you’re disabled and would like to use one of our services, we’ll do everything we can to make sure they’re accessible to you. Find out how we make our services accessible.

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