Register

FORM TWO:
Donation Form

Thank you for participating in our Holiday Giving Program! Your support is greatly appreciated!!
If you would like to register or nominate a family, please fill out FORM ONE. If you would like to make a donation, please fill out FORM TWO.

Your Name: *

Your Email Address: *

HOLIDAY GIVING PROGRAM

If you would like to donate in someone's honor, please enter their name(s) and email address(es) here. They will receive a virtual greeting card with details:

Donation Amount: *

Your Phone Number: *

Would you like to remain annonymous?

Yes

Your Email Address: *

FORM ONE: Registration/Nomination Form

Payment Method (Due by December 21st): *

eTransfer (send to beagemfoundation@gmail.com)

Cheque (payable to Be a GEM Foundation)

Cash

Your Name: *

Relationship to Family: *

If you are donating $50 or more and would like to personalize a message to the family/families, please do so here: