Make aWHEELdifference.
Teenage girl in a wheelchair
Assistive Technology Catalyst Project Assistive
Technology
Catalyst Project
REGISTRATION FORM

Please download and print the following pages.

  1. The Sponsor Signup Sheet gives you the ability to collect the sponsors' names, the amount they're donating and their email addresses. Please fill these out clearly so we can contact them in the future.
  2. The Sponsor Information Sheet has six sections with information for the sponsors. This sheet is to be cut up and one section given to each sponsor.

If you have any questions, please email us at wheeldifference@zemc.org.

Please enter the first team member's name.

Second team member's name

Please indicate if there will be more than two team members.

Please enter the additional team member(s) names.

Please indicate if there will be minors in your team.

If minors will be participating, please enter those members' names, the parent(s)/guardian(s) and contact phone number(s) for them.
If a parent/guardian is part of the team, please indicate that here.

Please enter all minor(s) information here.

Please enter a valid email.

Create a team name. Be as creative as you'd like!

Please enter your team name.


Our teams are registered at ZEMC.org/wheeldifference-donate. (This link takes you to the Canada Helps teams page.) If you want your sponsors to donate to your team online, you can register there or we can do that for you.

Please note: This information is never displayed on Canada Helps. It is only used internally to contact you.

Please let us know your preference regarding a Canada Helps team page.

Please enter your mailing address.

Invalid Input

Please enter the city for your mailing address.

Please select your province or territory.

Please enter your postal code.

Please enter the email address you prefer to use for your team contact information.


Registration Payment Instructions:

Your registration will be completed once we have processed your payment.

Please send your $25.00 registration fee via e-transfer to:
give@zemc.org
You must include "Make a Wheel Difference" and your team name in the "Message" for the e-transfer. If you prefer to pay by cash or cheque, please bring that to the church office and specify the team name.

The ability to donate to a specific team is coming soon.

Please complete this security feature.