Legacy Gift
Information Form

A legacy gift to Covenant House is a wonderful way to help youth who are homeless, trafficked or at risk, ignite their potential and reclaim their lives. This future gift is an extension of your current commitment and support. If you have made or intend to make a legacy gift to Covenant House, please take a moment to complete this confidential form and return it to us.

Full Name*
Spouse's Name
Date of Birth*
MM slash DD slash YYYY
Spouse's Date of Birth
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City Province Postal Code Country
Home Phone
Work Phone
Email

We will email you news, stories about the kids and ways to help.
- I/We have already decided to make a legacy gift to Covenant House.
Details of Your Gift
Details of your gift will help us plan for the future and ensure that we can continue to offer homeless youth opportunity and hope. This information is strictly confidential. Please fill in the box below that best describes what you would like to contribute.
My/Our will contains a bequest of $:________
My/Our will contains a bequest of ____________% residue of my/our estate
I/We have named Covenant House Toronto as Beneficiary of a life insurance policy in the amount of $___________________
I/We would like to name Covenant House Toronto as Owner and Beneficiary of a life insurance policy in the amount of $_____________
I/We have named Covenant House Toronto as Beneficiary of an RRSP or RRIF in the amount of $_________________
- I/We intend to include Covenant House in my/our Will(s).
I/We would like to receive more information on
- Leaving a gift in my/our will(s)
- Gifts of Life Insurance
- Gifts of RRSPs and RRIFs
- Gifts of Securities
- Gifts of Annuities
- Charitable Remainder Trusts
- Gifts of Property

Legacy Gift Information Form

Details of Your Gift

Legacy Gift
Information Form