New Member - Support Person Form

If you are interested in Cancer or Grief Support at Gilda’s Club Grand Rapids or Gilda’s Club Lowell, please complete this form and our Program Staff will contact you with more information within one business day. If you need an immediate response, or you do not receive a response from us, please give us a call at 616.453.8300 or email us at

Thank you for your interest and we look forward to welcoming you soon!