VP Ladies Application – Victoria's Promise

Victoria's Promise App

VP App Registration Form

We are sorry that you have a cancer diagnosis and our wish is that you find support through our VP App.

The community registered on our App are all between the age of 25 – 50 years at varying stages of their cancer. You will have the ability to find women who live geographically close to you, women that are having similar challenges to you and everyone in the community is there to share questions and lived experiences.

Please complete the form below, then press the Send Application button:

You will receive an email to confirm we have received your form.
Within 48 hours we will have processed your registration and you will receive a further email with the link to create your login.
You can download the App either before or after you receive the link by going to the App Store or Play Store and once you set up your login, you will be able to access the VP Tribe chat and other aspects of the App

If you have any questions or would like help with the registration please email us at info@victorias-promise.org

We look forward to welcoming you into our supportive and understanding community

Love

First Name

Last Name

Phone Number

Date of Birth (must be 25-50)

Marital Status

Cancer Diagnosis

Primary Cancer Type

Hospital/Clinic of Diagnosis

Street Address

City/Town

Postal / Zip Code

Country

I agree to the Privacy Policy & for my personal information to be used for the purposes of being approved for the Victoria's Promise Community App.

We respect your privacy and will not use your personal information for anything else other than putting your application through our approval process and subscribing you to our mailing list IF you opt in.