give.cafdn.org Open in urlscan Pro
2606:4700::6812:1184  Public Scan

Submitted URL: https://ca.engagingnetworks.app/page/email/click/2350/6324348?email=kOOkfktzA9CrNkh%2FviG9EOjDU40zZf2YVEqjaVf7tHI=&campid=NxSDyN...
Effective URL: https://give.cafdn.org/page/123515/donate/1?ea.tracking.id=CG_EMB22_Wonderkit_UNR-SUFK&utm_content=2023%20WonderKit...
Submission: On March 27 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST /page/123515/donate/2

<form method="post" action="/page/123515/donate/2" class="en__component en__component--page">
  <input type="hidden" name="hidden" class="en__hiddenFields" value="supporter.bankRoutingNumber,supporter.bankAccountNumber,,supporter.NOT_TAGGED_11,,supporter.NOT_TAGGED_1">
  <input type="hidden" name="sessionId" value="cea7710e99a64b379984ca9c2a7ba331-cac1-prd-web2">
  <ul class="en__errorList">
  </ul>
  <div class="en__component en__component--row en__component--row--2">
    <div class="en__component en__component en__component--column en__component--column--1">
      <div class="en__component en__component--imageblock">
        <img src="https://aaf1a18515da0e792f78-c27fdabe952dfc357fe25ebf5c8897ee.ssl.cf5.rackcdn.com/2350/CAFC+WonderKit_Landing+Page+Banner_Diploma.jpg?v=1678477257000" class="pageImage" height="auto" width="100%"
          alt="Giving a WonderKit is supporting a young person's chance to thrive" data-unit="%" data-ratio-lock="true" style="height: auto; width: 100%;">
      </div>
      <div class="en__component en__component--copyblock" style="







">
        <h2>A future of possibilities awaits.</h2>
        <p>Youth leaving care deserve every chance to pursue their dreams! But they often enter adulthood alone, lacking the family support their peers receive. You can show them they aren't alone by donating a WonderKit filled with items to help
          them live independently. Each WonderKit is tailored to individual youths' needs. It could be filled with a bag to carry their belongings, a comfortable pillow, or important supports like help finding housing or paying for groceries.</p>
        <p><strong>Every WonderKit you donate empowers youth to pursue their hopes and dreams. Will you help us reach our goal of 1,000 WonderKits by March 31st?</strong></p>
      </div>
      <div class="en__component en__component--formblock radio-to-buttons_recurrpay i1-hide i3-hide i4-hide i5-hide recurring-frequency_count_2 onetime-or-monthly" style="">
        <div class="en__field en__field--radio en__field--1525958 en__field--recurrpay">
          <label for="en__field_transaction_recurrpay" class="en__field__label" style="">I would like to make a:</label>
          <div class="en__field__element en__field__element--radio
">
            <div class="en__field__item">
              <input id="en__field_transaction_recurrpay0" checked="" type="radio" class="en__field__input en__field__input--radio" value="N" name="transaction.recurrpay">
              <label for="en__field_transaction_recurrpay0" class="en__field__label en__field__label--item">One-Time Gift</label>
            </div>
            <div class="en__field__item">
              <input id="en__field_transaction_recurrpay1" type="radio" class="en__field__input en__field__input--radio" value="Y" name="transaction.recurrpay">
              <label for="en__field_transaction_recurrpay1" class="en__field__label en__field__label--item">Monthly Gift</label>
            </div>
          </div>
        </div>
        <div class="en__field en__field--radio en__field--1525959 en__field--donationAmt en__mandatory">
          <label for="en__field_transaction_donationAmt" class="en__field__label" style="">Donation Amount</label>
          <div class="en__field__element en__field__element--radio
">
            <div class="en__field__item"><input id="transaction_donationAmt0" class="en__field__input en__field__input--radio" type="radio" name="transaction.donationAmt" value="25"> <label for="transaction_donationAmt0"
                class="en__field__label en__field__label--item">Give 1 WonderKit - $25</label></div>
            <div class="en__field__item"><input id="transaction_donationAmt1" class="en__field__input en__field__input--radio" type="radio" name="transaction.donationAmt" value="50"> <label for="transaction_donationAmt1"
                class="en__field__label en__field__label--item">Give 2 WonderKits - $50</label></div>
            <div class="en__field__item"><input id="transaction_donationAmt2" class="en__field__input en__field__input--radio" type="radio" name="transaction.donationAmt" value="100"> <label for="transaction_donationAmt2"
                class="en__field__label en__field__label--item">Give 4 WonderKits - $100</label></div>
            <div class="en__field__item"><input id="transaction_donationAmt3" class="en__field__input en__field__input--radio" type="radio" name="transaction.donationAmt" value="150"> <label for="transaction_donationAmt3"
                class="en__field__label en__field__label--item">Give 6 WonderKits - $150</label></div>
            <div class="en__field__item"><input id="transaction_donationAmt4" class="en__field__input en__field__input--radio" type="radio" name="transaction.donationAmt" value="250"> <label for="transaction_donationAmt4"
                class="en__field__label en__field__label--item">Give 10 WonderKits - $250</label></div>
          </div>
        </div>
        <div class="en__field en__field--text en__field--1525957 en__field--recurrday">
          <label for="en__field_transaction_recurrday" class="en__field__label" style="">Recurring Day</label>
          <div class="en__field__element en__field__element--text">
            <input id="en__field_transaction_recurrday" type="text" class="en__field__input en__field__input--text" name="transaction.recurrday" value="">
          </div>
        </div>
        <input type="hidden" class="en__field__input en__field__input--hidden" name="transaction.recurrfreq" value="MONTHLY">
        <input type="hidden" class="en__field__input en__field__input--hidden" name="transaction.paycurrency" value="CAD">
      </div>
      <div class="en__component en__component--copyblock payment-information-title" style="






padding: 1rem 0px 0px 0px;  
">
        <h4>Payment Information</h4>
      </div>
      <div class="en__component en__component--formblock radio-to-buttons card-or-paypal__wpr" style="">
        <div class="en__field en__field--radio en__field--1525967 en__field--NOT_TAGGED_8">
          <label for="en__field_supporter_NOT_TAGGED_8" class="en__field__label" style="">Select Payment Type</label>
          <div class="en__field__element en__field__element--radio
">
            <div class="en__field__item">
              <input id="en__field_supporter_NOT_TAGGED_80" checked="" type="radio" class="en__field__input en__field__input--radio" value="card" name="supporter.NOT_TAGGED_8">
              <label for="en__field_supporter_NOT_TAGGED_80" class="en__field__label en__field__label--item">Credit</label>
            </div>
            <div class="en__field__item">
              <input id="en__field_supporter_NOT_TAGGED_81" type="radio" class="en__field__input en__field__input--radio" value="paypal" name="supporter.NOT_TAGGED_8">
              <label for="en__field_supporter_NOT_TAGGED_81" class="en__field__label en__field__label--item">Paypal</label>
            </div>
            <div class="en__field__item">
              <input id="en__field_supporter_NOT_TAGGED_82" type="radio" class="en__field__input en__field__input--radio" value="cheque" name="supporter.NOT_TAGGED_8">
              <label for="en__field_supporter_NOT_TAGGED_82" class="en__field__label en__field__label--item">Chequing</label>
            </div>
          </div>
        </div>
      </div>
      <div class="en__component en__component--formblock i3-50 i4-50 payment-information__wpr i1-hide" style="">
        <div class="en__field en__field--select en__field--1525963 en__field--paymenttype">
          <label for="en__field_transaction_paymenttype" class="en__field__label" style="">Payment Type</label>
          <div class="en__field__element en__field__element--select">
            <select id="en__field_transaction_paymenttype" class="en__field__input en__field__input--select" name="transaction.paymenttype">
              <option value="mc">Mastercard</option>
              <option value="visa">Visa</option>
              <option value="amex">American Express</option>
              <option value="paypal">Paypal</option>
            </select>
          </div>
        </div>
        <div class="en__field en__field--text en__field--1525961 en__field--ccnumber">
          <label for="en__field_transaction_ccnumber" class="en__field__label" style="">Credit Card Number</label>
          <div class="en__field__element en__field__element--text">
            <input id="en__field_transaction_ccnumber" type="text" class="en__field__input en__field__input--text" name="transaction.ccnumber" value="">
          </div>
        </div>
        <div class="en__field en__field--splitselect en__field--1525965 en__field--ccexpire">
          <label for="en__field_transaction_ccexpire" class="en__field__label" style="">Credit Card Expiration</label>
          <div class="en__field__element en__field__element--splitselect">
            <input type="hidden" name="transaction.ccexpire.delimiter" value="/">
            <div class="en__field__item">
              <select id="en__field_transaction_ccexpire" class="en__field__input en__field__input--splitselect" name="transaction.ccexpire">
                <option value="MM">MM</option>
                <option value="01">01</option>
                <option value="02">02</option>
                <option value="03">03</option>
                <option value="04">04</option>
                <option value="05">05</option>
                <option value="06">06</option>
                <option value="07">07</option>
                <option value="08">08</option>
                <option value="09">09</option>
                <option value="10">10</option>
                <option value="11">11</option>
                <option value="12">12</option>
              </select>
            </div>
            <div class="en__field__item">
              <select class="en__field__input en__field__input--splitselect" name="transaction.ccexpire">
                <option value="YYYY">YYYY</option>
                <option value="22">2022</option>
                <option value="23">2023</option>
                <option value="24">2024</option>
                <option value="25">2025</option>
                <option value="26">2026</option>
                <option value="27">2027</option>
                <option value="28">2028</option>
                <option value="29">2029</option>
                <option value="30">2030</option>
              </select>
            </div>
          </div>
        </div>
        <div class="en__field en__field--text en__field--1525964 en__field--ccvv">
          <label for="en__field_transaction_ccvv" class="en__field__label" style="">CVV Security Code</label>
          <div class="en__field__element en__field__element--text">
            <input id="en__field_transaction_ccvv" type="text" class="en__field__input en__field__input--text" name="transaction.ccvv" value="">
          </div>
        </div>
        <div class="en__field en__field--text en__field--1525962 en__field--creditCardHolderName">
          <label for="en__field_supporter_creditCardHolderName" class="en__field__label" style="">Card Holder Name</label>
          <div class="en__field__element en__field__element--text">
            <input id="en__field_supporter_creditCardHolderName" type="text" class="en__field__input en__field__input--text" name="supporter.creditCardHolderName" value="">
          </div>
        </div>
      </div>
      <div class="en__component en__component--codeblock"><span class="bank-pop bank-information__wpr"><a href="#" title="Your 5 digit transit number followed by your 3 digit bank institution number">Where do I find this?</a></span>
      </div>
      <div class="en__component en__component--formblock bank-information__wpr bank-info i2-50 i3-50" style="">
        <div class="en__field en__field--text en__field--1525971 en__field--bankRoutingNumber en__hidden">
          <label for="en__field_supporter_bankRoutingNumber" class="en__field__label" style="">Bank Transit and Institution Number</label>
          <div class="en__field__element en__field__element--text">
            <input id="en__field_supporter_bankRoutingNumber" type="text" class="en__field__input en__field__input--text" name="supporter.bankRoutingNumber" value="" disabled="">
          </div>
        </div>
        <div class="en__field en__field--text en__field--1525972 en__field--bankAccountNumber en__hidden">
          <label for="en__field_supporter_bankAccountNumber" class="en__field__label" style="">Bank Account Number</label>
          <div class="en__field__element en__field__element--text">
            <input id="en__field_supporter_bankAccountNumber" type="text" class="en__field__input en__field__input--text" name="supporter.bankAccountNumber" value="" disabled="">
          </div>
        </div>
        <div class="en__field en__field--text en__field--1525969 en__field--NOT_TAGGED_11 en__hidden">
          <label for="en__field_supporter_NOT_TAGGED_11" class="en__field__label" style="">Account Holder Name</label>
          <div class="en__field__element en__field__element--text">
            <input id="en__field_supporter_NOT_TAGGED_11" type="text" class="en__field__input en__field__input--text" name="supporter.NOT_TAGGED_11" value="" disabled="">
          </div>
        </div>
        <input type="hidden" class="en__field__input en__field__input--hidden" name="supporter.bankAccountType" value="CHECKING">
      </div>
      <div class="en__component en__component--copyblock paypal-information__wpr" style="







">
        <p style="font-size: 14px; text-align: center;">You will be taken to Paypal after submitting this form.</p>
      </div>
    </div>
    <div class="en__component en__component en__component--column en__component--column--2">
      <div class="en__component en__component--widgetblock">
        <script data-id="1526028" src="/pageassets/js/enWidget.loader.js"></script>
        <div class="enWidget enWidget--imageFill" style="height: 100%; width: 100%;">
          <div class="enWidget__copy enWidget__copy--above"></div>
          <div class="enWidget__imageFill">
            <div class="enWidget__imageFill__wrap">
              <div class="enWidget__image enWidget__image--empty" style="background-image: url(&quot;https://aaf1a18515da0e792f78-c27fdabe952dfc357fe25ebf5c8897ee.ssl.cf5.rackcdn.com/2350/2023-WonderKit-page-widget-2.png?v=1678477859000&quot;);">
                <div class="enWidget__image enWidget__image--fill"
                  style="background-size: 332px; background-image: url(&quot;https://aaf1a18515da0e792f78-c27fdabe952dfc357fe25ebf5c8897ee.ssl.cf5.rackcdn.com/2350/2023-WonderKit-page-widget-1.png?v=1678477836000&quot;); height: 32%;">
                  <div class="enWidget__marker" style="border-color: rgb(0, 171, 194);">
                    <div class="enWidget__marker__total" style="color: rgb(255, 255, 255); background-color: rgb(0, 171, 194);">$8,069</div>
                  </div>
                </div>
              </div>
            </div>
          </div>
          <div class="enWidget__copy enWidget__copy--below"></div>
        </div>
      </div>
      <div class="en__component en__component--copyblock personal-information-title" style="







">
        <h4>Your Information</h4>
      </div>
      <div class="en__component en__component--formblock i2-100 i3-50 i4-50 i5-50 i6-50 i3-start i4-end i1-hide-label" style="">
        <div class="en__field en__field--checkbox en__field--1525977 en__field--dirgift">
          <label class="en__field__label" style="">Organization Gift</label>
          <div class="en__field__element en__field__element--checkbox
	">
            <div class="en__field__item">
              <input id="en__field_transaction_dirgift" type="checkbox" class="en__field__input en__field__input--checkbox" value="1" name="transaction.dirgift">
              <label for="en__field_transaction_dirgift" class="en__field__label en__field__label--item">My gift is on behalf of a business or organization</label>
            </div>
          </div>
        </div>
        <div class="en__field en__field--text en__field--1525976 en__field--NOT_TAGGED_1 en__mandatory en__hidden">
          <label for="en__field_supporter_NOT_TAGGED_1" class="en__field__label" style="">Organization Name</label>
          <div class="en__field__element en__field__element--text">
            <input id="en__field_supporter_NOT_TAGGED_1" type="text" class="en__field__input en__field__input--text" name="supporter.NOT_TAGGED_1" value="" disabled="">
          </div>
        </div>
        <div class="en__field en__field--select en__field--1525980 en__field--title">
          <label for="en__field_supporter_title" class="en__field__label" style="">Title</label>
          <div class="en__field__element en__field__element--select">
            <select id="en__field_supporter_title" class="en__field__input en__field__input--select" name="supporter.title">
              <option selected="selected" value="">Please select</option>
              <option value="Dr.">Dr.</option>
              <option value="Miss">Miss</option>
              <option value="Mr.">Mr.</option>
              <option value="Mrs.">Mrs.</option>
              <option value="Ms">Ms</option>
            </select>
          </div>
        </div>
        <div class="en__field en__field--text en__field--1525978 en__field--firstName en__mandatory">
          <label for="en__field_supporter_firstName" class="en__field__label" style="">First Name</label>
          <div class="en__field__element en__field__element--text">
            <input id="en__field_supporter_firstName" type="text" class="en__field__input en__field__input--text" name="supporter.firstName" value="">
          </div>
        </div>
        <div class="en__field en__field--text en__field--1525975 en__field--lastName en__mandatory">
          <label for="en__field_supporter_lastName" class="en__field__label" style="">Last Name</label>
          <div class="en__field__element en__field__element--text">
            <input id="en__field_supporter_lastName" type="text" class="en__field__input en__field__input--text" name="supporter.lastName" value="">
          </div>
        </div>
        <div class="en__field en__field--text en__field--1525979 en__field--NOT_TAGGED_3">
          <label for="en__field_supporter_NOT_TAGGED_3" class="en__field__label" style="">Mobile Phone</label>
          <div class="en__field__element en__field__element--text">
            <input id="en__field_supporter_NOT_TAGGED_3" type="text" class="en__field__input en__field__input--text" name="supporter.NOT_TAGGED_3" value="">
          </div>
        </div>
        <div class="en__field en__field--email en__field--1525974 en__field--emailAddress en__mandatory">
          <label for="en__field_supporter_emailAddress" class="en__field__label" style="">Email Address</label>
          <div class="en__field__element en__field__element--email">
            <input id="en__field_supporter_emailAddress" type="email" autocomplete="email" class="en__field__input en__field__input--email" name="supporter.emailAddress" value="">
          </div>
        </div><input type="hidden" class="en__field__input--hidden" name="supporter.sendOffset" value="+00:00">
      </div>
      <div class="en__component en__component--formblock i1-hide" style="">
        <div class="en__field en__field--checkbox en__field--question en__field--1305848 en__field--implied-opt-in">
          <label class="en__field__label" style="">Implied opt-in</label>
          <div class="en__field__element en__field__element--checkbox
	">
            <div class="en__field__item">
              <input id="en__field_supporter_questions_1305848" checked="" type="checkbox" class="en__field__input en__field__input--checkbox" value="Y" name="supporter.questions.1305848">
              <label for="en__field_supporter_questions_1305848" class="en__field__label en__field__label--item">By submitting this form, you are consenting to receive communications from Children’s Aid Foundation of Canada. We’ll send you stories
                and updates so you can see the difference Canadians like you are making in the lives of vulnerable Canadian young people. You can unsubscribe at any time.</label>
            </div>
          </div>
        </div>
      </div>
      <div class="en__component en__component--copyblock billing-information-title" style="







">
        <h4>Billing Information</h4>
      </div>
      <div class="en__component en__component--formblock i1-100 i2-50 i3-50 i4-50 i5-50 i6-hide i7-50 i6-50" style="">
        <div class="en__field en__field--select en__field--1525988 en__field--country">
          <label for="en__field_supporter_country" class="en__field__label" style="">Country</label>
          <div class="en__field__element en__field__element--select">
            <select id="en__field_supporter_country" class="en__field__input en__field__input--select" name="supporter.country">
              <option selected="selected" value="CA">Canada</option>
              <option value="GB">United Kingdom</option>
              <option value="US">United States</option>
              <option value="AF">Afghanistan</option>
              <option value="AX">Åland Islands</option>
              <option value="AL">Albania</option>
              <option value="DZ">Algeria</option>
              <option value="AS">American Samoa</option>
              <option value="AD">Andorra</option>
              <option value="AO">Angola</option>
              <option value="AI">Anguilla</option>
              <option value="AQ">Antarctica</option>
              <option value="AG">Antigua and Barbuda</option>
              <option value="AR">Argentina</option>
              <option value="AM">Armenia</option>
              <option value="AW">Aruba</option>
              <option value="AU">Australia</option>
              <option value="AT">Austria</option>
              <option value="AZ">Azerbaijan</option>
              <option value="BS">Bahamas</option>
              <option value="BH">Bahrain</option>
              <option value="BD">Bangladesh</option>
              <option value="BB">Barbados</option>
              <option value="BY">Belarus</option>
              <option value="BE">Belgium</option>
              <option value="BZ">Belize</option>
              <option value="BJ">Benin</option>
              <option value="BM">Bermuda</option>
              <option value="BT">Bhutan</option>
              <option value="BO">Bolivia, Plurinational State of</option>
              <option value="BQ">Bonaire, Sint Eustatius and Saba</option>
              <option value="BA">Bosnia and Herzegovina</option>
              <option value="BW">Botswana</option>
              <option value="BV">Bouvet Island</option>
              <option value="BR">Brazil</option>
              <option value="IO">British Indian Ocean Territory</option>
              <option value="BN">Brunei Darussalam</option>
              <option value="BG">Bulgaria</option>
              <option value="BF">Burkina Faso</option>
              <option value="BI">Burundi</option>
              <option value="CV">Cabo Verde</option>
              <option value="KH">Cambodia</option>
              <option value="CM">Cameroon</option>
              <option value="KY">Cayman Islands</option>
              <option value="CF">Central African Republic</option>
              <option value="TD">Chad</option>
              <option value="CL">Chile</option>
              <option value="CN">China</option>
              <option value="CX">Christmas Island</option>
              <option value="CC">Cocos (Keeling) Islands</option>
              <option value="CO">Colombia</option>
              <option value="KM">Comoros</option>
              <option value="CG">Congo</option>
              <option value="CD">Congo, the Democratic Republic of the</option>
              <option value="CK">Cook Islands</option>
              <option value="CR">Costa Rica</option>
              <option value="CI">Côte d'Ivoire</option>
              <option value="HR">Croatia</option>
              <option value="CU">Cuba</option>
              <option value="CW">Curaçao</option>
              <option value="CY">Cyprus</option>
              <option value="CZ">Czech Republic</option>
              <option value="DK">Denmark</option>
              <option value="DJ">Djibouti</option>
              <option value="DM">Dominica</option>
              <option value="DO">Dominican Republic</option>
              <option value="EC">Ecuador</option>
              <option value="EG">Egypt</option>
              <option value="SV">El Salvador</option>
              <option value="GQ">Equatorial Guinea</option>
              <option value="ER">Eritrea</option>
              <option value="EE">Estonia</option>
              <option value="ET">Ethiopia</option>
              <option value="FK">Falkland Islands (Malvinas)</option>
              <option value="FO">Faroe Islands</option>
              <option value="FJ">Fiji</option>
              <option value="FI">Finland</option>
              <option value="FR">France</option>
              <option value="GF">French Guiana</option>
              <option value="PF">French Polynesia</option>
              <option value="TF">French Southern Territories</option>
              <option value="GA">Gabon</option>
              <option value="GM">Gambia</option>
              <option value="GE">Georgia</option>
              <option value="DE">Germany</option>
              <option value="GH">Ghana</option>
              <option value="GI">Gibraltar</option>
              <option value="GR">Greece</option>
              <option value="GL">Greenland</option>
              <option value="GD">Grenada</option>
              <option value="GP">Guadeloupe</option>
              <option value="GU">Guam</option>
              <option value="GT">Guatemala</option>
              <option value="GG">Guernsey</option>
              <option value="GN">Guinea</option>
              <option value="GW">Guinea-Bissau</option>
              <option value="GY">Guyana</option>
              <option value="HT">Haiti</option>
              <option value="HM">Heard Island and McDonald Islands</option>
              <option value="VA">Holy See (Vatican City State)</option>
              <option value="HN">Honduras</option>
              <option value="HK">Hong Kong</option>
              <option value="HU">Hungary</option>
              <option value="IS">Iceland</option>
              <option value="IN">India</option>
              <option value="ID">Indonesia</option>
              <option value="IR">Iran, Islamic Republic of</option>
              <option value="IQ">Iraq</option>
              <option value="IE">Ireland</option>
              <option value="IM">Isle of Man</option>
              <option value="IL">Israel</option>
              <option value="IT">Italy</option>
              <option value="JM">Jamaica</option>
              <option value="JP">Japan</option>
              <option value="JE">Jersey</option>
              <option value="JO">Jordan</option>
              <option value="KZ">Kazakhstan</option>
              <option value="KE">Kenya</option>
              <option value="KI">Kiribati</option>
              <option value="KP">Korea, Democratic People's Republic of</option>
              <option value="KR">Korea, Republic of</option>
              <option value="KW">Kuwait</option>
              <option value="KG">Kyrgyzstan</option>
              <option value="LA">Lao People's Democratic Republic</option>
              <option value="LV">Latvia</option>
              <option value="LB">Lebanon</option>
              <option value="LS">Lesotho</option>
              <option value="LR">Liberia</option>
              <option value="LY">Libya</option>
              <option value="LI">Liechtenstein</option>
              <option value="LT">Lithuania</option>
              <option value="LU">Luxembourg</option>
              <option value="MO">Macao</option>
              <option value="MK">Macedonia, the former Yugoslav Republic of</option>
              <option value="MG">Madagascar</option>
              <option value="MW">Malawi</option>
              <option value="MY">Malaysia</option>
              <option value="MV">Maldives</option>
              <option value="ML">Mali</option>
              <option value="MT">Malta</option>
              <option value="MH">Marshall Islands</option>
              <option value="MQ">Martinique</option>
              <option value="MR">Mauritania</option>
              <option value="MU">Mauritius</option>
              <option value="YT">Mayotte</option>
              <option value="MX">Mexico</option>
              <option value="FM">Micronesia, Federated States of</option>
              <option value="MD">Moldova, Republic of</option>
              <option value="MC">Monaco</option>
              <option value="MN">Mongolia</option>
              <option value="ME">Montenegro</option>
              <option value="MS">Montserrat</option>
              <option value="MA">Morocco</option>
              <option value="MZ">Mozambique</option>
              <option value="MM">Myanmar</option>
              <option value="NA">Namibia</option>
              <option value="NR">Nauru</option>
              <option value="NP">Nepal</option>
              <option value="NL">Netherlands</option>
              <option value="NC">New Caledonia</option>
              <option value="NZ">New Zealand</option>
              <option value="NI">Nicaragua</option>
              <option value="NE">Niger</option>
              <option value="NG">Nigeria</option>
              <option value="NU">Niue</option>
              <option value="NF">Norfolk Island</option>
              <option value="MP">Northern Mariana Islands</option>
              <option value="NO">Norway</option>
              <option value="OM">Oman</option>
              <option value="PK">Pakistan</option>
              <option value="PW">Palau</option>
              <option value="PS">Palestine, State of</option>
              <option value="PA">Panama</option>
              <option value="PG">Papua New Guinea</option>
              <option value="PY">Paraguay</option>
              <option value="PE">Peru</option>
              <option value="PH">Philippines</option>
              <option value="PN">Pitcairn</option>
              <option value="PL">Poland</option>
              <option value="PT">Portugal</option>
              <option value="PR">Puerto Rico</option>
              <option value="QA">Qatar</option>
              <option value="RE">Réunion</option>
              <option value="RO">Romania</option>
              <option value="RU">Russian Federation</option>
              <option value="RW">Rwanda</option>
              <option value="BL">Saint Barthélemy</option>
              <option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
              <option value="KN">Saint Kitts and Nevis</option>
              <option value="LC">Saint Lucia</option>
              <option value="MF">Saint Martin (French part)</option>
              <option value="PM">Saint Pierre and Miquelon</option>
              <option value="VC">Saint Vincent and the Grenadines</option>
              <option value="WS">Samoa</option>
              <option value="SM">San Marino</option>
              <option value="ST">Sao Tome and Principe</option>
              <option value="SA">Saudi Arabia</option>
              <option value="SN">Senegal</option>
              <option value="RS">Serbia</option>
              <option value="SC">Seychelles</option>
              <option value="SL">Sierra Leone</option>
              <option value="SG">Singapore</option>
              <option value="SX">Sint Maarten (Dutch part)</option>
              <option value="SK">Slovakia</option>
              <option value="SI">Slovenia</option>
              <option value="SB">Solomon Islands</option>
              <option value="SO">Somalia</option>
              <option value="ZA">South Africa</option>
              <option value="GS">South Georgia and the South Sandwich Islands</option>
              <option value="SS">South Sudan</option>
              <option value="ES">Spain</option>
              <option value="LK">Sri Lanka</option>
              <option value="SD">Sudan</option>
              <option value="SR">Suriname</option>
              <option value="SJ">Svalbard and Jan Mayen</option>
              <option value="SZ">Swaziland</option>
              <option value="SE">Sweden</option>
              <option value="CH">Switzerland</option>
              <option value="SY">Syrian Arab Republic</option>
              <option value="TW">Taiwan</option>
              <option value="TJ">Tajikistan</option>
              <option value="TZ">Tanzania, United Republic of</option>
              <option value="TH">Thailand</option>
              <option value="TL">Timor-Leste</option>
              <option value="TG">Togo</option>
              <option value="TK">Tokelau</option>
              <option value="TO">Tonga</option>
              <option value="TT">Trinidad and Tobago</option>
              <option value="TN">Tunisia</option>
              <option value="TR">Turkey</option>
              <option value="TM">Turkmenistan</option>
              <option value="TC">Turks and Caicos Islands</option>
              <option value="TV">Tuvalu</option>
              <option value="UG">Uganda</option>
              <option value="UA">Ukraine</option>
              <option value="AE">United Arab Emirates</option>
              <option value="UM">United States Minor Outlying Islands</option>
              <option value="UY">Uruguay</option>
              <option value="UZ">Uzbekistan</option>
              <option value="VU">Vanuatu</option>
              <option value="VE">Venezuela, Bolivarian Republic of</option>
              <option value="VN">Viet Nam</option>
              <option value="VG">Virgin Islands, British</option>
              <option value="VI">Virgin Islands, U.S.</option>
              <option value="WF">Wallis and Futuna</option>
              <option value="EH">Western Sahara</option>
              <option value="YE">Yemen</option>
              <option value="ZM">Zambia</option>
              <option value="ZW">Zimbabwe</option>
            </select>
          </div>
        </div>
        <div class="en__field en__field--text en__field--1525986 en__field--address1 en__mandatory">
          <label for="en__field_supporter_address1" class="en__field__label" style="">Address 1</label>
          <div class="en__field__element en__field__element--text">
            <input id="en__field_supporter_address1" type="text" class="en__field__input en__field__input--text" name="supporter.address1" value="">
          </div>
        </div>
        <div class="en__field en__field--text en__field--1525983 en__field--address2">
          <label for="en__field_supporter_address2" class="en__field__label" style="">Address 2</label>
          <div class="en__field__element en__field__element--text">
            <input id="en__field_supporter_address2" type="text" class="en__field__input en__field__input--text" name="supporter.address2" value="">
          </div>
        </div>
        <div class="en__field en__field--text en__field--1525985 en__field--city en__mandatory">
          <label for="en__field_supporter_city" class="en__field__label" style="">City</label>
          <div class="en__field__element en__field__element--text">
            <input id="en__field_supporter_city" type="text" class="en__field__input en__field__input--text" name="supporter.city" value="">
          </div>
        </div>
        <div class="en__field en__field--select en__field--1525987 en__field--region en__mandatory">
          <label for="en__field_supporter_region" class="en__field__label" style="">Province/State</label>
          <div class="en__field__element en__field__element--select">
            <select id="en__field_supporter_region" class="en__field__input en__field__input--select" name="supporter.region">
              <option value="">Please select</option>
              <option value="AB">Alberta</option>
              <option value="BC">British Columbia</option>
              <option value="MB">Manitoba</option>
              <option value="NB">New Brunswick</option>
              <option value="NL">Newfoundland and Labrador</option>
              <option value="NS">Nova Scotia</option>
              <option value="ON">Ontario</option>
              <option value="PE">Prince Edward Island</option>
              <option value="QC">Quebec</option>
              <option value="SK">Saskatchewan</option>
              <option value="NT">Northwest Territories</option>
              <option value="NU">Nunavut</option>
              <option value="YT">Yukon</option>
            </select>
          </div>
        </div>
        <div class="en__field en__field--text en__field--1525982 en__field--NOT_TAGGED_13">
          <label for="en__field_supporter_NOT_TAGGED_13" class="en__field__label" style="">Province</label>
          <div class="en__field__element en__field__element--text">
            <input id="en__field_supporter_NOT_TAGGED_13" type="text" class="en__field__input en__field__input--text" name="supporter.NOT_TAGGED_13" value="">
          </div>
        </div>
        <div class="en__field en__field--text en__field--1525984 en__field--postcode en__mandatory">
          <label for="en__field_supporter_postcode" class="en__field__label" style="">Postal Code</label>
          <div class="en__field__element en__field__element--text">
            <input id="en__field_supporter_postcode" type="text" class="en__field__input en__field__input--text" name="supporter.postcode" value="">
          </div>
        </div>
      </div>
      <div class="en__component en__component--formblock fee-cover " style="padding:1rem 1em 1em 1em;">
        <div class="en__field en__field--checkbox en__field--1525952 en__field--feeCover">
          <label class="en__field__label" style="">Did you know that by covering the processing fee, Children's Aid Foundation of Canada will be able to help more young people?</label>
          <div class="en__field__element en__field__element--checkbox
	">
            <div class="en__field__item">
              <input id="en__field_transaction_feeCover" type="checkbox" class="en__field__input en__field__input--checkbox" value="Y" name="transaction.feeCover">
              <label for="en__field_transaction_feeCover" class="en__field__label en__field__label--item">Yes, I want to cover the 4% fee for my donation.</label>
            </div>
          </div>
        </div>
      </div>
      <div class="en__component en__component--formblock" style="padding:1rem 0px 2rem 0px;">
        <div class="en__captcha">
          <div class="g-recaptcha" data-sitekey="6LdjFAUTAAAAAOR0XkVp_ORlGPrlOB_WMer01f2H" data-callback="_grecaptchaCallback" data-expired-callback="_grecaptchaExpireCallback">
            <div style="width: 304px; height: 78px;">
              <div><iframe title="reCAPTCHA"
                  src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6LdjFAUTAAAAAOR0XkVp_ORlGPrlOB_WMer01f2H&amp;co=aHR0cHM6Ly9naXZlLmNhZmRuLm9yZzo0NDM.&amp;hl=de&amp;v=vpEprwpCoBMgy-fvZET0Mz6L&amp;size=normal&amp;cb=mympxmrx989p"
                  width="304" height="78" role="presentation" name="a-70lzpj2ymzor" frameborder="0" scrolling="no"
                  sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response" name="g-recaptcha-response"
                class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
            </div><iframe style="display: none;"></iframe>
          </div>
        </div>
        <div class="en__submit"><button style="">Gift a WonderKit NOW <span data-token="amount-total">$25.00</span></button></div>
      </div>
    </div>
  </div>
  <div class="en__component en__component--row en__component--advrow">
    <div class="en__component en__component en__component--column en__component--advcolumn code-block" style="flex-grow:0; flex-shrink:0; flex-basis:100%;">
      <div class="en__component en__component--codeblock">
        <style>
          /** HIDE BANK ON LOAD **/
          .bank-information__wpr {
            display: none;
          }

          .paypal-information__wpr {
            display: none;
          }

          /** Hide Bank on Load **/
          .en__field--NOT_TAGGED_8 label[for=en__field_supporter_NOT_TAGGED_82] {
            display: none;
          }

          /** Hides Donation Form Other Button **/
          .en__field--donationAmt.en__field--withOther .en__field__element--radio .en__field__item:nth-last-child(2) {
            display: none !important;
          }

          /** Shows Donation Form Other Input **/
          .en__field--donationAmt.en__field--withOther .en__field__element--radio .en__field__item:last-child {
            display: flex !important;
            padding-left: 0px !important;
            flex-grow: 2 !important;
            /** 4 donation amounts **/
          }
        </style>
      </div>
      <div class="en__component en__component--codeblock"><!-- Google Tag Manager -->
        <script>
          (function(w, d, s, l, i) {
            w[l] = w[l] || [];
            w[l].push({
              'gtm.start': new Date().getTime(),
              event: 'gtm.js'
            });
            var f = d.getElementsByTagName(s)[0],
              j = d.createElement(s),
              dl = l != 'dataLayer' ? '&l=' + l : '';
            j.async = true;
            j.src = 'https://www.googletagmanager.com/gtm.js?id=' + i + dl;
            f.parentNode.insertBefore(j, f);
          })(window, document, 'script', 'dataLayer', 'GTM-PLBDZDJ');
        </script>
        <!-- End Google Tag Manager -->
      </div>
      <div class="en__component en__component--copyblock" style="







">
        <p style="text-align: center;"><span style="font-size:10px;"><em>A WonderKit represents resources, programs or support for children, youth and families affected by child welfare.</em></span></p>
      </div>
    </div>
  </div>
</form>

Text Content

A FUTURE OF POSSIBILITIES AWAITS.

Youth leaving care deserve every chance to pursue their dreams! But they often
enter adulthood alone, lacking the family support their peers receive. You can
show them they aren't alone by donating a WonderKit filled with items to help
them live independently. Each WonderKit is tailored to individual youths' needs.
It could be filled with a bag to carry their belongings, a comfortable pillow,
or important supports like help finding housing or paying for groceries.

Every WonderKit you donate empowers youth to pursue their hopes and dreams. Will
you help us reach our goal of 1,000 WonderKits by March 31st?

I would like to make a:
One-Time Gift
Monthly Gift
Donation Amount
Give 1 WonderKit - $25
Give 2 WonderKits - $50
Give 4 WonderKits - $100
Give 6 WonderKits - $150
Give 10 WonderKits - $250
Recurring Day


PAYMENT INFORMATION

Select Payment Type
Credit
Paypal
Chequing
Payment Type
Mastercard Visa American Express Paypal
Credit Card Number

Credit Card Expiration
MM 01 02 03 04 05 06 07 08 09 10 11 12
YYYY 2022 2023 2024 2025 2026 2027 2028 2029 2030
CVV Security Code

Card Holder Name

Where do I find this?
Bank Transit and Institution Number

Bank Account Number

Account Holder Name


You will be taken to Paypal after submitting this form.

$8,069


YOUR INFORMATION

Organization Gift
My gift is on behalf of a business or organization
Organization Name

Title
Please select Dr. Miss Mr. Mrs. Ms
First Name

Last Name

Mobile Phone

Email Address

Implied opt-in
By submitting this form, you are consenting to receive communications from
Children’s Aid Foundation of Canada. We’ll send you stories and updates so you
can see the difference Canadians like you are making in the lives of vulnerable
Canadian young people. You can unsubscribe at any time.

BILLING INFORMATION

Country
Canada United Kingdom United States Afghanistan Åland Islands Albania Algeria
American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina
Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados
Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of
Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island
Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso
Burundi Cabo Verde Cambodia Cameroon Cayman Islands Central African Republic
Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo
Congo, the Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire
Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican
Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia
Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana
French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana
Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea
Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican
City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic
Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan
Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic
of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho
Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, the former
Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall
Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated
States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco
Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand
Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman
Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru
Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian
Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and
Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe
Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten
(Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South
Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan
Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab
Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-Leste
Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and
Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United States Minor
Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of
Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western
Sahara Yemen Zambia Zimbabwe
Address 1

Address 2

City

Province/State
Please selectAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and
LabradorNova ScotiaOntarioPrince Edward IslandQuebecSaskatchewanNorthwest
TerritoriesNunavutYukon
Province

Postal Code

Did you know that by covering the processing fee, Children's Aid Foundation of
Canada will be able to help more young people?
Yes, I want to cover the 4% fee for my donation.
Gift a WonderKit NOW $25.00

A WonderKit represents resources, programs or support for children, youth and
families affected by child welfare.

Your privacy is important to us. Children's Aid Foundation of Canada will keep
your personal data secure.
For more information, please see our Privacy Policy
Charitable Registration Number: 108076480-RR0001

©2023 Children's Aid Foundation of Canada