Have a Heart for CANFAR Signup Form

Please fill out the following form to register for Have a Heart for CANFAR! If you’d prefer to register by fax (416 361 5736) or email hah@canfar.com, download the pdf form here. If you’d prefer to register by phone, please call 1 800 563 2873.

  • *School name
  • *School Description
    What type of school: high school, elementary, community centre, alternative etc.
  • Name of School Board
  • *Grade Range
  • *Staff Contact Name
  • *Staff Contact email
  • *School Telephone Number
  • School Fax Number
  • *Shipping Address
  • *City
  • *Province
  • *Postal Code
  • *# of students at your school
  • *# of heart-o-grams requested
    increments of 50
  • Include condoms?
  • Our school has a NO GUM policy
  • Our school has a NO FOOD policy
  • We would like to receive correspondence in the following language.
  • Poster Option 1: Safer Sex
    This poster will encourage students to protect themselves properly during sexual activity to prevent HIV/AIDS.
    How many would you like to receive? (either 1, or even denominations: 2,4,6 etc.)
  • Poster Option 2: Abstinence
    This poster will reveal to students that the best possible way to be protected from HIV/AIDS is to abstain from sex.
    How many would you like to receive? (either 1, or even denominations: 2,4,6 etc.)
  • Poster Option 3: General Awareness
    This poster promotes HIV/AIDS awareness and states an important educational fact that is relatable to youth.
    How many would you like to receive? (either 1, or even denominations: 2,4,6 etc.)
  • Additional Comments