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, Feb 8th 2025 Update
Unfortunately, we are now at capacity.
We are now CLOSED for any new registrations.
As we receive more funding & volunteers we may resume registration April 2025.
You may fill out the registration below in Apr 2025
and you will be put on our waiting list.
Single Parent Families with disabilities 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):
