Carefor Stars

I am a(Required)

Name(Required)

Email(Required)

Phone(Required)

In which region did you receive service?(Required)

Pembroke-Renfrew County

Ottawa

Eastern Counties

Name of the Carefor Staff or Volunteer you wish to acknowledge(Required)

First Last

Occupation/Position (such as visiting nurse, personal support worker, etc)(Required)

Tell us why you are honouring this staff or volunteer; what would you like to say to your Carefor star?(Required)

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Would you like to donate? Yes

Welcome!