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Confirmation Receipt for Funding
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Camp Backpacks
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Donate Your Car
Bequest
Endowments
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The Gift Card Project
Kits for a Cause
Lap Blanket
Notice: We are currently out of blankets at this time.
These lap blankets have been knitted and donated by the volunteers at the Innisfil IdeaLAB & Library. If you are interested in receiving one while supplies last, please fill out the form below:
Lap Blanket Application
Sender
Sender's Details
*
First
Last
Email
*
Recipient
Recipient's Details
*
Same as Sender (Self Referral)
Detailed Below
Recipient's Name
First
Last
Age
*
Gender
*
Male
Female
Address (For Delivery)
*
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Phone
*
Email
Diagnosis
*
Date of Diagnosis
*
Year
Month
Day
Is the recipient in active treatment?
*
Yes
No
Additional Details
How did you hear about this program?
Any comments or suggestions to help us improve this program?
I do hereby release and discharge Shine Through The Rain Foundation (STTRF) and its officers, agents, servants, employees, volunteers and affiliates from any and all claims for injuries, including death, damages, property damage, or loss which may have, or may in future, accrue to me as a result of my involvement or participation in any activities associated with this organization. By checking this box you are acknowledging and agreeing to this liability waiver.
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