Sponsor a Hamper - The Caring and Sharing Exchange

Street Address:*

City:*

Province:*

Postal Code:*

Daytime Phone:*

Evening Phone:

Cell Phone:

E-mail Address:*

Please list the languages that you speak:

Number of hampers you wish to sponsor:*

Preferred area of Ottawa:

East | Central | West | South | No preference

Wish to help family of:

1-2 people | 3-5 people | 6+ people | Seniors | No preference

If necessary, are you willing to accommodate special dietary restrictions (i.e. Halal, Kosher)?:

Yes No

In case the Caring and Sharing Exchange is unable to meet all your requests, which of the following is MOST IMPORTANT to you

Number Of Hampers Preferred Area Size of Family

How did you hear about the sponsor-a-hamper program?

If other:

Comments:

NOTE: The Caring and Sharing Exchange makes every effort to accommodate sponsorship preferences, but it cannot guarantee specific requests .

IF YOU REGISTER BEFORE FRIDAY, NOVEMBER 29, 2024, YOU WILL RECEIVE YOUR HAMPER MATCH(ES) BEFORE FRIDAY, DECEMBER 06, 2024.

* I understand as a condition of my involvement as a HAMPER SPONSOR of the Christmas Exchange Program of the Caring and Sharing Exchange that I am expected to maintain this confidentiality during and after my involvement.

I agree that any information about clients secured by me, or available to me, in the pursuit of my duties with the Caring and Sharing Exchange is of a confidential nature and I hereby undertake to respect that confidentiality and to take all reasonable precautions to safeguard it.

Finally, once the Hamper is delivered, I agree to delete all information about the family(ies) I have assisted.

*Required fields.
Sponsorship Type:*
Individual/Family	Company/ Organization/ Group
First Name:*
Last Name:*

Sponsor a Hamper - 2024 Registration