Client Registration

“He defends the cause of the fatherless and the widow, and loves the foreigner residing among you, giving them food and clothing.”

Deuteronomy 10:18

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.

Client Registration

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:

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):

To get the registration process started you must email the information requested. After your response by email we will review your application and if you meet our criteria. We will contact you to let you know if you qualify for the home delivery food hamper service and a delivery date for your area.

We do not service Vancouver, Burnaby & New Westminster. If the home delivery service is at its limit of families for the month, we will have to put your family on our waiting list.
As soon as a client drops out or tells us they don't need a hamper delivery for the month,the next name on the waiting list for that city will be added to the client delivery list and we will contact you.

As we are a not-for-profit organization dependent upon donations and there is a limit to the numbers of clients that can be serviced. There is no service every January, July, and August due to drop off in Donations.
NOTE: Client information is kept private and confidential.

Fill out the Client Registration below form to get your process started. ** Some info is mandatory to be able to submit the form.

PLEASE NOTE these are the ONLY cities we are able to service at this time: Port Moody • Coquitlam • Port Coquitlam • Pitt Meadows • Maple Ridge • Langley • Mission • Cloverdale • Surrey • Delta

Such as Ministry of Social Services & Housing (welfare), work, disability, child support, child tax credits, etc
Such as Rent, Utilities, etc

Are you a Single Parent Family with Disabilities and meet the critieria below?

Our service is currently for Single Parent (one parent) families who are poor, of low income, and in need that are unable to go to a regular food bank in their area due to an illness or disability in the family & have transportation issues that prevents them from getting the help they need visiting the local food bank.