Cancer Survivor Registration

Please DO NOT submit this registration unless you are already booked on the 2025 Buckeye Cruise.

First Name

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Last Name

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Email Address

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T-Shirt Size (unisex sizing)*

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Cancer Type or Color of Cancer Ribbon

Please enter a valid cancer type or ribbon color.

Buckeye Cruises Attended

Please enter a valid cruise number.

Are you booked for the 2025 cruise?

Yes No

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Would you like to participate in opening night ceremonies?

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Would you like to participate in the Survivor/Athlete Breakfast on the ship?

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Please select a valid answer.

Do you authorize the Buckeye Cruise/OSUCCC - James to use your name, photo, and/or story when promoting the Buckeye Cruise for Cancer?

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Tell us why you support the Buckeye Cruise for Cancer

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Photo Submission
(Optional)

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I voluntarily give my permission to The Ohio State University and Buckeye Cruise for Cancer for my image and/or voice to be recorded, published and/or distributed for news, educational, marketing or publicity purposes. I understand that once this protected information is printed, recorded and/or electronically posted, Ohio State nor the Buckeye Cruise for Cancer retains no further control over its use.*

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Cancer Survivors Registration

Cancer Survivor Information