Request your visit

Your Information

First Name:

Last Name:

Age:

Gender:

Address line 1:

Address line 2:

City

Province

Postal Code:

Supporter Number:

Phone Number:

Email:

Email Confirm:

Travel Information

Country you're visiting:

Departure Date from Canada:

Arrival Date into Country:

Departure Date from Country:

Preferred Visit Date (Mon to Fri):

Alternative Visit Date (Mon to Fri):

Address of accommodations where you will be on requested visit date (please provide at least city):

In Country Phone Number:

Would you like Compassion to arrange transportation for your visit day?

Yes

Compassion Centre Information

How many people will be visiting a Compassion child?

Project number or city where you would like to visit a Compassion project:

Additional Visitor Information

Please complete for each visitor.

Full Name:

Age:

Gender:

Supporter Number (if applicable):

Address is the same as requestor

Yes

Additional Details

Additional details/requests you would like us to know about your Visit Request: