Little Wonders Garden Form

Little Wonders Garden Order Form

Here at RVH, the birth of a baby is a special event and one that should be celebrated. Our Little Wonders Garden offers families the opportunity to mark this special occasion by making a donation to ensure world-class, specialized care is available for all babies born in our community.

Pay tribute to your baby with a petal or butterfly.

$ Donation Amount:

You have chosen to donate $150 once.

Who's giving today?

We’ll never share this information with anyone.

Personal Info

First Name *

Last Name *

Is this donation on behalf of a company?

No
Yes

Company Name

Email Address *

Comment

Phone number

I would like a petal in celebration of my baby through my donation to Little Wonders. I would like a butterfly in memory of my baby through my donation to Little Wonders.

Dedication information

Baby's Name

Baby's birth date

Certificate information

Mommy and Daddy Grandma and Grandpa Other

Certificate to read from

Address for certificate (If different than from billing address)

Customization

Acknowledgement

I understand that in donating to the Little Wonders program, a special flower petal or butterfly with the name and birthdate of my baby will be displayed on the Little Wonders wall at Royal Victoria Regional Health Centre. I also understand that a certificate will be mailed to me and a photo of my baby’s flower petal or butterfly will be emailed to me once it is on the wall. Royal Victoria Regional Health Centre respects your privacy. We protect your personal information and adhere to all legislative requirements with respect to protecting privacy. We do not rent, sell or trade our mailing lists. If at any time you wish to be removed from our contact list, simply call us at 705-739-5600.

Select Payment Method

Donate with Stripe - Checkout

Billing Details

Country *

Address 1 *

Address 2

City *

Province *

Zip / Postal Code *

Donate quickly and securely with Stripe

How it works: A Stripe window will open after you click the Donate Now button where you can securely make your donation. You will then be brought back to this page to view your receipt.

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Donation Total: $150 One Time

Little Wonders Garden Order Form

Royal Victoria Regional Health Centre Foundation