50/50 Winner's Form — 2021 Playoffs

You’re receiving this link because you have been identified as a person holding a winning ticket number for a recent online 50/50 raffle from the Montreal Canadiens Children’s Foundation. Details of your prize have been communicated to you by telephone and/or email.

To claim your prize, you must complete the declaration and release form below and provide two (2) proofs of identity within two (2) business days from the time we did the draw.

For any questions, please contact us at fondation5050@canadiens.com and we will get back to you as soon as possible.

  • Winner's contact information

  • Exoneration of responsability

  • Full name
  • Identification

  • Drop files here or
    For example, you could upload a copy of either your passport, your driver's licence, your health insurance card, your birth certificate, your certificate of Indian status, or other official documents issued by a federal, provincial, territorial or state government authority allowing us to confirm your identity.
  • Banking information

    Your prize will be paid by direct deposit in Canadian dollars ($ CAD) within 60 business days of claiming the prize.
  • Testimonials

On behalf of the Montreal Canadiens Children’s Foundation, congratulations on winning half of one of our 50/50 jackpots during the 2021 Stanley Cup Playoffs!

Thank you for supporting the Montreal Canadiens Children’s Foundation through the 50/50 raffle program. Your generosity will enable us to provide a better and healthier future for children in need by promoting a healthy and active lifestyle among youth.