Are You Lonely?

If you are 75 or older, with no family or support system to turn to, you will find caring, compassion and companionship at Little Brothers.

Is there someone you know who would benefit from the services that Little Brothers provides? Tell us more about them by filling out the form below.

Little Brothers can help!

Fields marked with an * are required.

WHAT IS YOUR REASON FOR CONTACTING US:*
- I am 75 or older and alone.
- I know a lonely senior who needs you.
CONTACT INFORMATION:*
Given name Family name
Email:*
Enter your email Confirm your email
Phone:*
Area/Community:*
Postal code:*
If you are contacting us for someone other than yourself, is this person 75 years old or more?
- Yes
- No
- Not sure
What is your relationship to the person? This information will remain strictly confidential.
Briefly describe your situation, or the situation of the person you are contacting us about. This information will remain strictly confidential.*
HOW CAN WE GET IN TOUCH WITH THIS PERSON? (required if you clicked on “I know a lonely senior who needs you.”)
Given name Family name
Phone:
Enter this code :
Be careful, the code is case sensitive

You wish to get involved?