Treasure Beads Selection Form

Please fill out Shipping information below. All fields are required.

Name

First Last

Shipping Address*

Street Address Address Line 2 City Province Postal Code

Email

Choose your beads below, and specify quantity for each.

Admission - Happy Face Disc

Price: $ 0.00 CAD

Child's Name - Alphabet (first journey chain only)

Price: $ 0.00 CAD

Please provide child's name:

Assisted Heart Device - Large Red Crystal Heart

Price: $ 0.00 CAD

Biopsy - Blue/Black Stripe or Large Orange Heart

Price: $ 0.00 CAD

Catheter, Tubes & Drains in/out - Gold Circle

Price: $ 0.00 CAD

Clinic Visit or Medical Team - Marine Assorted

Price: $ 0.00 CAD

Complex Pediatric Therapies - Footprint Charm

Price: $ 0.00 CAD

Dental - Purple Heart

Price: $ 0.00 CAD

Dialysis or Phototherapy - Orange Circle

Price: $ 0.00 CAD

Discharge - Happy Face with Shades

Price: $ 0.00 CAD

Dressing Changes - Light Blue Heart

Price: $ 0.00 CAD

ECMO - Star Disc

Price: $ 0.00 CAD

ER Visit - Teddy Bear Disc

Price: $ 0.00 CAD

First bath by parent or EVD - Dolphin Disc

Price: $ 0.00 CAD

First diaper change by parent - Diaper Pin

Price: $ 0.00 CAD

First oral feeding - Soother

Price: $ 0.00 CAD

Gained a pound - Rattle

Price: $ 0.00 CAD

Glenrose - Butterfly Disc

Price: $ 0.00 CAD

Heart Surgery - Crystal Heart

Price: $ 0.00 CAD

Infection - Fish

Price: $ 0.00 CAD

Internal Defibrillator/ Pacemaker - Pink Heart

Price: $ 0.00 CAD

Intubation/ Extubation - White Heart

Price: $ 0.00 CAD

ICP - Blue Flower Disc

Price: $ 0.00 CAD

Isolation - Teddy Bear

Price: $ 0.00 CAD

IV Start/ Stop - Green Circle

Price: $ 0.00 CAD

Lines Central/ Pic/ Art - Silver Heart

Price: $ 0.00 CAD

Music Therapy/CPAP - Music Disc

Price: $ 0.00 CAD

Neonatal follow-up visit - Elephant Charm

Price: $ 0.00 CAD

NPO - Yellow Circle

Price: $ 0.00 CAD

Oxygen - White Circle

Price: $ 0.00 CAD

Physio/ Occupational Therapy - Burgundy Circle

Price: $ 0.00 CAD

Pokes/ Blood Work - Red Heart

Price: $ 0.00 CAD

Procedure Bead - Safari Animal

Price: $ 0.00 CAD

Pumping - Panda Disc

Price: $ 0.00 CAD

Rejection or pod move- Car

Price: $ 0.00 CAD

Safe sleep - Moon Charm

Price: $ 0.00 CAD

Satellite Visit - Train

Price: $ 0.00 CAD

Scans - Kitty

Price: $ 0.00 CAD

School - School Disc

Price: $ 0.00 CAD

Seasonal - As available

Price: $ 0.00 CAD

Sedation/ Medication - Sparkly Star

Price: $ 0.00 CAD

Shunt Tap - Bee Disc

Price: $ 0.00 CAD

Stents/ Ballooning/ Cardiac Cath or 100 days- Balloon Disc

Price: $ 0.00 CAD

Stroke - Turtle Disc

Price: $ 0.00 CAD

Surgery Other Than Heart - Mosaic Ball or Large Heart (assorted colours)

Price: $ 0.00 CAD

Sutures/ Staples Removed - Black Iris Round

Price: $ 0.00 CAD

Tests - Puppy Dog

Price: $ 0.00 CAD

TPN - Turquoise Circle

Price: $ 0.00 CAD

Transfusion - Blue Round

Price: $ 0.00 CAD

Transplant - Large Clear Crystal Heart

Price: $ 0.00 CAD

Transport - Any Kind - Plane

Price: $ 0.00 CAD

WOW Beads - Assorted

Price: $ 0.00 CAD

X-Ray - Gold Heart

Price: $ 0.00 CAD

Extra string (approximately 30 inches)

Price: $ 0.00 CAD

Treasure Beads Selection Form

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