- Contact Us
- Maps & Directions

St. Joseph's Baby Face Photo Wall Registration Form

Any photos received after Friday, Oct. 29 will be place on the next panel to be unveiled in Spring 2011

Questions? Email us at babyfacewall@stjoesfoundation.ca. Call 905.521.6036 or 1.866.478.5037

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

Questions? Email us at babyfacewall@stjoesfoundation.ca. Call 905.521.6036 or 1.866.478.5037

Please choose A or B for Step 2:

A) For photos of just one person, please complete the following:

First Name
Last Name
Date of Birth:

B) For photos of more than 1 person, you may include the names and birthdates of all those in the photo:

*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

No Photo Attached

Any persons in this photo who are now over the age of majority (19 years and over), I certify that I have their permission to have this photo reproduced.

*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.

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.

Contact Information

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

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

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.