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Gilda’s Club South Florida gathers information about every participant to better understand who attends our programs. All personal information will be kept confidential. Since we are a non-profit organization that does not charge for our services, we rely solely on donations to underwrite our programs, and we need the following information to help us secure funding. The information provided to funders will be only in terms of combined demographic data of all participants with no identifying information. Your answers to these questions will, in no way, affect your ability to access all programs at Gilda’s Club South Florida at no charge.

Initial to Agree to Program Contact* 


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