Host a Fundraiser

Habilitas Foundation is proud to raise funds for the following partners:

• Action Centre
• Camp Massawippi
• Lethbridge-Layton-Mackay Rehabilitation Centre (MAB-Mackay)
• Quebec Federation of the Blind

Regardless of where you’d like your support to go, you are in the right place! 

Please take a moment to fill out the form below to the best of your ability – information can always be updated along the way. Once we receive it, we’ll be in touch to set up a time to talk, answer any questions you might have, and see how we can help make your fundraising efforts a success.

Full Name(Required)

First Last

Organization (if applicable)

Organization’s social media handles (if applicable)

Address

Street Address Address Line 2 City Province QuebecAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code

Your Phone Number(Required)

Your Email Address(Required)

Tell us a bit about the event

Fundraising Event Name

Event Description(Required)

Projected Event Date(Required)

MM slash DD slash YYYY

Event Location

Street Address Address Line 2 City Province QuebecAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code

Is this location ramp accessible?

Yes

No

Don't Know

What is your fundraising goal (total dollars)?

Is this fundraiser in support of a specific Habilitas Foundation partner or program? If so, which one?

How do you plan to raise funds (i.e. ticket sales, online fundraising page, purchase item proceeds, etc.)?

Would you like the option to have supporters donate through the Habilitas Foundation website?

Yes

No

Undecided

Would you like a Habilitas Foundation representative at your event?

Yes

No

Undecided

Would you like a partner organization representative at your event?

Yes

No

Undecided

How did you hear about the Habilitas Foundation?

Δ

The information collected through this form is required to process your request and to follow up on it. You have the right to access and rectify your personal information, and you may withdraw your consent at any time. By providing your information on this form, you acknowledge that you have consulted Habilitas Foundation’s privacy policy.