DON VALLEY COMMUNITY DROP IN LUNCH
Dear Community: (This program is for those who live in the area between: North to Steeles, South to Eglinton and West Bayview to East Victoria Park)

The next lunch is April 27th.
Come anytime between 12 pm - 1 pm.  It will be held at Don Valley Bible Chapel - 25 Axsmith Cres.

This program is for anyone who is experiencing food insecurity or is a newcomers to Canada!


INSTRUCTIONS:  

If you would like to attend, please fill out this form and submit it. If have questions or if you want to cancel please contact sue at dvbcfoodprograms@gmail.com or 416 889-2013.  
We really hope you enjoy these meals and feel a whole lot of goodness in each bite!!



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WHAT IS YOUR LAST NAME? *
WHAT IS YOUR FIRST NAME? *
WHAT IS YOUR COMPLETE ADDRESS (include apt #)?  *
WHAT IS YOUR POSTAL CODE?  *
PHONE NUMBER  *
HOW MANY PEOPLE WILL BE ATTENDING?  *
HOW MANY ADULTs & KIDs (9 and under)
1 Full-Meal
2 Full-Meals
3 Full-Meals
4 Full-Meals
5 Full-Meals
6 Full - Meals
7
Meat ADULT (Age 10 plus)
Meat KID (aGE 2-9 years)
VEGETARIAN ADULT (Age 10 plus)
VEGETARIAN KIDs (Age 2-9 years)
Clear selection
WHAT LANGUAGE (S) DO YOU SPEAK (we will try to have translation when we can) *
HOW DID YOU HEAR ABOUT THIS PROGRAM?
Clear selection
PLEASE PROVIDE US WITH A VALID EMAIL ADDRESS TO CONTACT YOU IN THE FUTURE:  *
FOOD WAIVER AND RELEASE LIABILITY FORM *
I, (please write down your name below), acknowledge that Don Valley Bible Chapel (DVBC)  and  ORIOLE FOOD SPACE (OFS) are not responsible for any related food born illness and any food allergic reaction that might be a direct or indirect result of my participation in the weekly-meal program. I release Don Valley Bible Chapel (DVBC) and ORIOLE FOOD SPACE (OFS) and its agents, representatives, employees, volunteers, and sponsors from any and all damages, causes of action, claims and liability that might arise from my participation in this food program.
any comments or questions (eg. If you require Halal meat or you don't eat beef.  Please put that here).
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