Registration Form - Coaching
Donation Amount:
First Name
Last Name
Have you donated to HCI before?
Yes             No
Mobile Number for Whatsapp Notification
Email Address
Donation Options
E-Transfer (preferred method) to (Not available for out of Canada donors)
PayPal (Please add 2% admin fees by PayPal)
PayPal Giving Fund (Use your credit card with this NO FEE option),NOTE: If you are donating through PayPal Giving fund, Please check the box to disclose your name. Otherwise, the default is anonymous and we will not know who the money came from hence we can not send any updates. Also CRA will not allow us to use anonymous donations.
Comments (if any)

Please click on the Submit button only once
Filling this form is essential. Once the form is submitted, it is stored in our database. We require the information on this form to process your receipt as well as to route your donation to the selected program.

Please note that all donations* of $20 OR MORE to any sponsorships or general donations are TAX DEDUCTIBLE.

You may also go directly to pay through Paypal/Credit Card by clicking below. Please add 2% to your donation to cover the fees. If you choose to pay by Credit Card/PayPal, and if you want official tax receipt from Handi-Care, you must fill in your address, email id, and select the option to allow PayPal to share your ADDRESS with us. Otherwise we will NOT send you a receipt.

PayPal/Credit Card