Registration Form (no charge)

Hope

caregivers. The day will feature presentations by cancer specialists, medical experts, allied health professionals and cancer survivors.
Hope for the Delta is designed to meet the educational and informational needs of the public and cancer patients, survivors, family members and

Hope for the Delta

Name ______________________________________________

408 Fontaine Pl., Ste. 104

Address ____________________________________________

for the Delta

Ridgeland, MS 39157
City _______________________ State_______ Zip _________

Day time phone ( )__________________________________

Email address _______________________________________ CANCER EDUCATION CONVERSATION CELEBRATION

Are you a cancer survivor/? □ yes □ no Product/Service Information

Are you caregiver of a cancer survivor? □ yes □ no

If so, what is the diagnosis?

________________________________________________

Special Needs:

______ Check here if you have any special needs that we need
to accomodate. Explain _________________________

How did you hear about this program?

______ mail ______ email ______ friend
______ newspaper ______ radio
______ brochure from the doctor’s office

5th Annual Cancer Conference

To Receive Your Free Lunch register by
June 10, 2011
Thursday, June 16, 2011
8:00 AM—3:00 PM
Please return this form to:
Leukemia & Lymphoma Society
Leflore County Civic Center
408 Fontaine Pl., Ste. 104
Ridgeland, MS 39157
601-956-7447 or 1-877-538-5364
Fax to: 601-956-6957

Or email: andi.agnew@lls.org Free – Open to the Public – Door Prizes!

 Schedule of Events
8:00 Registration and Visit with Vendors
8:45 Welcome CHARLES CARTER, emcee
9:00 - 9:45 Keynote Speaker
PAUL OTT Country music performer, host of
“Listen to the Eagle,” and cancer survivor
9:45 – 10:50 Health Care Panel Discussion
DR. ARNOLD SMITH, North Central Mississippi
Regional Cancer Center; DR. ROGER BLAKE,
Blake Surgical Association; DANA DELASKI,
Nurse Practitioner, Hematology/Oncology,
University of Mississippi Medical Center Cancer
Institute; BRAD O’BRYAN, American General Life
and Accident Insurance Company; SHARON
MCALISTER, Magnolia Health Plan.
A panel of healthcare professionals and insurance
representatives answer your questions about cancer
and how to access resources to help you gain the best
possible care.
10:50 -11:00 Break
11:00 – 11:50 BREAKOUT SESSIONS:
(CHOOSE ONE)
Nutrition and Physical Activity LELA CARTER, RD
Spirituality REV. JESSIE PAYNE
Caring for the Caregiver NANCY DUNN, RN, AND
EILEEN FILE, RN
Thank you to the following committee members for your
11:50 – 1:00 Celebration Lunch time and dedication to this program.
―I Got My Life Back‖ Featuring Mary Edwards Andi Agnew The Leukemia and Lymphoma Society
Peters, Survivor FREE lunch to attendees with
a celebration of survivorship as cancer survivors Brad O’Bryan American General Life & Accident
Insurance Company
model their new selves
Charles Carter Prostate Cancer Education and Outreach
Ministries
BREAKOUT SESSIONS: (CHOOSE ONE)
Mary Cary USM – MS Network for Cancer Control
1:00 – 1:50 & Prevention Leflore County
Cleophus Clark USM – MS Network for Cancer Control &
Nutrition and Physical Activity LELA CARTER, RD
Prevention Leflore County
Spirituality REV. JESSIE PAYNE
Hope Cooper Volunteer
Caring for the Caregiver NANCY DUNN, RN, AND
Briauna Elam- MS Communities for Delta Health Living
EILEEN FILE, RN
Perryman The University of Southern Mississippi
Charles McCain Prostate Cancer Education & Outreach
2:00 - 2:45 (CHOOSE ONE) Ministries
Nutrition and Physical Activity LELA CARTER, RD Theresa McCain Prostate Cancer Education & Outreach
Ministries
Spirituality REV. JESSIE PAYNE
Desiree Norwood Delta Hills Public Health District
Caring for the Caregiver NANCY DUNN, RN, AND
EILEEN FILE, RN Alice Osborne Volunteer
John Brookins Mallory Health Clinic
2:45- 3:00 - Turn in Evaluations and
LaJewel Parker Cancer Survivor / Volunteer
Door Prizes, Door Prizes, Door Prizes
Rev. Jessie Payne Providence Missionary Baptist Church
Wayne Self Leflore County Board of Supervisors
A SPECIAL THANKS TO OUR SPONSORS, WITHOUT WHOM President ( District 4 Supervisor)
THIS PROGRAM WOULD NOT BE POSSIBLE
Earnestine Singleton Alpha Kappa Alpha Sorority, Inc.
Kappa Alpha Omega Chapter, Inc.
Tameka Walls Mississippi State Department of Health
Ruby Williams Volunteer; USM – MS Network for
Cancer Control & Prevention
Freddie White- USM – MS Network for Cancer Control
Johnson & Prevention; Fannie Lou Hamer Cancer
Foundation; MS Partnership for
MP3C Comprehensive Cancer Control
Cleveland Wood, Jr. Prostate Cancer Education & Outreach
Ministries