Noel Raskin, M.D. | The Laurus Project

Become a Leader:

Thank you for your interest in becoming a Thrive Tribe Leader! You are the link to helping women aﬀected by breast cancer become connected, supported and empowered through our programs and activities.

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email

Phone

Personal Information

I am a breast cancer survivor
I am high-risk for breast cancer

Your Thrive Tribe Location: City, State, Zip

Acknowledgment of Terms and Conditions: By submitting this application you agree to The Laurus Project® terms and conditions of serving as a Thrive Tribe Leader. Please read the following statements and click the appropriate button to verify you have read and agree to these terms. 1. As a Thrive Tribe leader your contact information will be available on meetup.com 2. You are a volunteer of The Laurus Project and at no time can represent yourself as an employee of The Laurus Project. 3. You can not give medical advice. 4. You can not use The Laurus Project events to sell products or services. 5. New programs delivered under The Laurus Project logo must be approved by The Laurus Project. 6. You can not sign contracts, open bank accounts, or in any way act as a legal entity under The Laurus Project’s name. 7. You have read and agree to The Laurus Project Volunteer Release

I agree to the Terms and Conditions of serving as a Thrive Tribe Leader.

Privacy and Terms of Service:

By clicking you agree to The Laurus Project Privacy and Terms of Service