Victoria Angel
show information
Register Now
Menu
Home
About Victoria Angel and what we do
Vision and Mission Statement
What are Umbilical Cord Blood Stem Cells
Public Cord Blood Banking Is Vital
Victoria Angel’s Campaign
Why Victoria Angel’s Program is Unique
Board Members and Advisors
Donate Cord Blood
Register Now
Acceptance Criteria
What to Expect
Canada’s Public Bank Locations
Health Professionals and Researchers
Birthing Professionals
Transplant Professionals
Researchers
Media
FAQ’s
Register Now
Registration
Mother’s first name
*
Mother’s last name (*as it appears on health card)
*
Mother's birth date
*
Mother's email
*
Address
*
Street Address
City
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Mother's Phone
*
Type of Pregnancy
*
Select One
Singleton
Multiple
Expected due date
*
Delivery Hospital
*
Select Hospital
Markham Stouffville
McKenzie Health Centre
North York General
Southlake Regional (Newmarket)
Humber River Hospital Wilson Site
St. Joseph's Health Centre – Toronto
St. Michael's Hospital – Toronto
William Osler Health Centre Etobicoke General Site
Dr Kalaichandran’s (Rouge Valley Centenary)
Michael Garron Hospital
Dr./ Midwife name
*
How did you hear about Victoria Angel?
Physician
Midwife
Brochure
Television
Fundraiser
Radio
Friend/Family
News
Prenatal Class
Others
If Other, Please specify
Register Now →
Acceptance Criteria
What to Expect
Canada’s Public Bank Locations
FAQ’s