Register

Thank you for your interest in participating in the GoHere™ Washroom Access Program!

If you would like to sign up your business to participate in the GoHere program, please fill out the form below:

I am a:

Business
Volunteer

Title:

First Name:

Last Name:

Email Address:

Website:

Telephone:

( ) -

Telephone 2:

( ) -

Business Name:

Business Address Line 1:

Business Address Line 2:

Business City:

Business Province:

Business Postal Code:

Business Email:

Business Phone:

( ) -

Comments:

Security code:

Enter security code:

Please enter the visible security code in the field above. This is a security measure to prevent spam.

If you would like additional information or have a question, please email us at gohere@crohnsandcolitis.ca.

Canada has among the highest incidence rates of Crohn's and colitis in the world.
1 in 140 Canadians lives with Crohn’s or colitis.
Families new to Canada are developing these diseases for the first time.
Incidence of Crohn’s in Canadian kids under 10 has doubled since 1995.
People are most commonly diagnosed before age 30.

GoHere™ Washroom Access Program