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About
Partners
- Expressions of Gratitude
- Proud Partners
Free Resources
Programs
Get Involved
Donate
Contact Us

Christmas Part Application 2020

This year we are hosting a virtual party due to COVID-19. Please indicate if you plan to join the virtual party on Saturday December 12th from 11:30am to 1:30pm.*
- Yes
- No
The party will be hosted via Zoom (zoom.us) and a link to access the live feed will be sent out closer to the party by email. All gifts will be mailed.
Patient Name*
First Last
Patient Age*
Parent Name (if Patient is 18 or under)
First Last
Patient Diagnosis*
Date of Most Recent Treatment*
Date Format: MM slash DD slash YYYY
Hospital*
Doctor*
All gifts will be delivered by mail this year. *Please double check* to ensure your mailing address is correct.
Home Address*
Street Address Unit # City Province Postal Code
Email*
Phone*
Number of Children (18 and under)*
Child 1
Name*
First Last
Age*
Gender*
T-Shirt Size*
- XS
- S
- M
- L
- XL
- XXL
Hobbies*
Favourite celebrity/musician/sports team/etc.*
Wish List Item 1*
Link to Item 1 on Amazon.ca (optional)
Wish List Item 2*
Link to Item 2 on Amazon.ca (optional)
Wish List Item 3*
Link to Item 3 on Amazon.ca (optional)
Child 2
Name
First Last
Age
Gender
T-Shirt Size
- XS
- S
- M
- L
- XL
- XXL
Hobbies
Favourite celebrity/musician/sports team/etc.
Wish List Item 1
Link to Item 1 on Amazon.ca (optional)
Wish List Item 2
Link to Item 2 on Amazon.ca (optional)
Wish List Item 3
Link to Item 3 on Amazon.ca (optional)
Child 3
Name
First Last
Age
Gender
T-Shirt Size
- XS
- S
- M
- L
- XL
- XXL
Hobbies
Favourite celebrity/musician/sports team/etc.
Wish List Item 1
Link to Item 1 on Amazon.ca (optional)
Wish List Item 2
Link to Item 2 on Amazon.ca (optional)
Wish List Item 3
Link to Item 3 on Amazon.ca (optional)
Child 4
Name
First Last
Age
Gender
T-Shirt Size
- XS
- S
- M
- L
- XL
- XXL
Hobbies
Favourite celebrity/musician/sports team/etc.
Wish List Item 1
Link to Item 1 on Amazon.ca (optional)
Wish List Item 2
Link to Item 2 on Amazon.ca (optional)
Wish List Item 3
Link to Item 3 on Amazon.ca (optional)
Please note that we will do our best to fill wish list requests but that we are limited to what we can provide.

Audio/Visual release
I understand that by authorizing this Audio/Visual Release form, I am irrevocably releasing the use of any likeness dialogue which has been recorded of my family for Shine Through the Rain, including its employees, agents or servants for any multi-media purpose that could include reproducing it on our website, or any other printed media associated with the organization, such as promotions, single images, or as wallpaper. All audio/visual records, recordings, negative and/or slides together with any prints shall constitute the property of Shine Through the Rain, solely and completely. Shine Through the Rain respects your privacy. We protect your personal information and adhere to all legislative requirements in protecting your privacy. We do not rent, sell, or trade our mailing lists. We see your personal information to provide services to keep you informed and up to date on our activities.
*
- I Accept
How did you hear about the Christmas Party?*
Comments/Questions

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