Event Registration Form

Event Registration Form

    Full permission is granted to Chai Lifeline Canada and it’s representatives to photograph any child/teen, and to use, publish, and release for publication any photos taken at this event.
  • Use computer mouse or finger to sign
  • Please type the first and last name of person who signed


300A Wilson Ave. Toronto, Ontario, M3H 1S8

Phone: 647.430.5933


1090B Pratt. Montreal, Quebec, H2V 2V2

Phone: 514.667.7041

Crisis Intervention

Email: [email protected]

Phone: 1 (800) 556-6238