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Refer a child

Before we get started

Please note that referrals cannot be made anonymously. We will not proceed without the prior knowledge and approval of the family involved. Please get the family’s permission before making your referral.

Has the child's family been made aware of this referral?

Yes, the family is aware of this referral

No, the family is not yet aware of this referral

Please get the family’s permission before making your referral.

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Great! First, we need to collect some basic information about you (the referrer)

Your first nameYour last name

What is your relationship to the child you are referring?Your email addressYour phone number

Your address Info

ProvinceCity or town

Street address

Apt, suite, etc. (optional)Postal code

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Perfect! Second, we need some information about the child that you’re referring

Child's first nameChild's last name

What is the child's date of birth?What is the child's illness?Is there anything else that you’d like to add? (optional)

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Almost there! Third, we need to collect information for the child’s parent/guardian

Parent/guardian's first nameParent/guardian's last name

Parent/guardian's email addressParent/guardian's phone number

Parent/guardian's address Info

ProvinceCity or town

Street address

Apt, suite, etc. (optional)Postal code

press enter

Lastly, please enter the following information for the child’s doctor

Doctor's first nameDoctor's last name

Doctors's email address (optional)Doctors's phone number

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and command

Thank you! Your referral has been received and will be reviewed by our team.

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Home Events Patyon's Powerplay Burger - Back Door Burgers

Patyon's Powerplay Burger - Back Door Burgers

When?

Thursday

June 18, 2026

11:30am to 1pm

Where?

Back Door Burgers - The Fairmont Winnipeg

2 Lombard Avenue, Winnipeg

See on Google Maps

Try Payton's Powerplay Burger and help bring Dreams to life!

The Fairmont's Back Door Burgers is partnering with The Dream Factory to create special moments for kids in Manitoba facing life-threatening illnesses.

To do that, they've invited Dream Kid Payton to create his own signature burger that will be sold June 18 at Back Door Burgers!

Visit The Fairmont and try Payton's unique and delicious creation on June 18 from 11:30am to 1:00pm.

For more information please contact...

Karly

Community Giving Manager