St. Joseph's Baby Face Photo Wall Registration Form

Please be sure to complete the form in full.

Click here for a printable version of the form.

Donor Information

Last Name:
First Name:
Street Address:
City:
Province:
Postal Code:
Phone Number:
Email Address:

Name Of Baby Pictured As It Will Appear On The St. Joseph's Baby Face Wall

First Name
Last Name
Date of Birth:

*Please note: One registration form and a separate minimum donation of $20 is required for each St. Joe's Baby you wish to honour on the Wall. You must complete steps 1-4 for each Baby Face Wall submission.

Photographs

Digital Photo -

Please browse and attach your digital photo in jpeg format. It should be no smaller than 300 dpi.

Conventional Print Photo -

Please use printable form and mail along with photo to:
St. Joseph's Healthcare Foundation
224 James St. S.
Hamilton, ON
L8P 3A9

*Please note: Whenever possible, the baby photo should be primarily the head and shoulders of the subject to ensure the best quality reproduction on the Baby Face Photo Wall. In light of design requirements, St. Joseph's Healthcare Foundation reserves the right to crop, edit or request an alternative photo to ensure the most consistent look possible. We apologize, but due to the volume of responses received, we will be unable to return submitted photos.

Payment Information

Donation Amount

$50 $75 $100 $150 $200 other:

*Charitable Business No. 11918 3549 RR0001 *A receipt for the total donation amount will be issued for income tax purposes.

Questions? Email us at babyfacewall@stjoesfoundation.ca.

Please click on "Next Step" to proceed Payment Information

I authorize St. Joseph's Healthcare Foundation to deduct the specified amount from my Credit Card.

Latest Information

New Multiple Sclerosis Research Warrants Funding

February 8, 2010 – The pioneer of a new, but yet unproven, treatment for multiple sclerosis (MS), Dr. Zamboni, will make his North American debut at a press conference at St. Joseph’s Healthcare in Hamilton, Ontario today.

Contact Information

Charlton Campus
50 Charlton Avenue East, Hamilton, Ontario, Canada L8N 4A6
(905) 522 - 1155 (automated)
(905) 522 - 4941 (switchboard)

King Campus
2757 King Street East, Hamilton, Ontario, Canada L8G 5E4
(905) 573-7777
Urgent Care Service: 0800 hrs to 2200 hrs - 7 days per week.

West 5th Campus
100 West 5th Street, Hamilton, Ontario, Canada L8N 3K7
905-388-2511 or 905-522-1155