Client Registration
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“He defends the cause of the fatherless and the widow, and loves the foreigner residing among you, giving them food and clothing.”
Important March 10, 2024 Update
Unfortunately, we are currently at capacity and we have suspended any new registrations until Sept. 2024.
As we receive more funding and volunteers we may resume registration sooner.
If you have a medical emergency and need only temporary help,
fill in the registration below.
Single Parent Families Only.
To Get Our Support, please read and complete carefully.
We are a very specialized service serving a very specific need in our communities so you must fit our criteria for us to be able to help.
If you are a Single Parent FAMILY who are poor or in need and CAN NOT GET TO a Regular Food Bank DUE TO an ILLNESS or DISABILITY affecting YOU or YOUR CHILDREN, please email us the necessary information via the Registration Form on this page or from your own email following the instructions below.
Cut & paste this information (#1 to #8) to your email then complete the questions and email to: info@foodbankonwheels.org
1. Adults name(s) :
2. Address:
3. Name of Children: (sex & date of birth):
4. Contact number: (cell and/or home phone):
5. Email Address:
6. Monthly Income: (such as Ministry of Social Services & Housing (welfare), work, disability, child support, child tax credits):
7. Monthly Expenses; (such as Rent, Utilities, etc.):
8. Reason for your need of Home Delivery of Food Hamper:
(such as a disability, work, school, transportation issues, that will require a Home Delivery of our monthly Food Hamper):
