Sunnybrook Hospital Staff Lottery Entry Form

To enter the Sunnybrook Staff Lottery, please complete the below form. By completing this form, you acknowledge and agree to the lottery rules and regulations. Draws take place every two weeks, on the Friday following Sunnybrook pay day.

To be eligible for the lottery you must be one of: an active Sunnybrook employee; an active employee of an eligible third-party employer; or hold an eligible professional licence. Click here for full eligibility information.

Are you already in the lottery?

The below entry form is for new lottery participants and only needs to be completed once. If multiple entries are received, your ticket quantity will be determined at the discretion of the Sunnybrook Staff Lottery Team. If you already have active lottery tickets and would like to increase or decrease your number of tickets please click here.

Order Lottery Tickets

Amount:

1 Ticket

$ 5.00

2 Tickets

$ 10.00

3 Tickets

$ 15.00

4 Tickets

$ 20.00

Payment Method

Only staff with a valid Sunnybrook employee ID can pay via payroll deduction or credit card. Eligible professional staff or staff from an eligible third party employer can only pay via credit card.

Payment Selection:

Payroll Deduction

Credit Card

Department:

CPSO/RSDSO/CMO License:

Campus:

Employee ID:

NetCommunity Time Stamp:

Personal Information

A Sunnybrook employee ID, third party employee ID or a professional license number is required to enter the staff lottery.

Title:

First name:

Last name:

Country:

Home Address:

City:

Province:

Postal Code:

Phone Number:

Email:

Payment Information

Payment Method:

Credit Card

Payroll Deduction

Cardholder's Name:

Credit Card Number:

Card Type:

Card Expiry:

Card Security Code: