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Food & Friends at Home Registration Form - September 2021
The Children’s Foundation is working towards continuing our support of the most vulnerable in our community despite the challenges presented by the COVID-19 pandemic. We are especially concerned about the children and youth who rely on our Food & Friends student nutrition programs.

The Children's Foundation, in partnership with local organizations, has created the Food & Friends at Home
initiative which will operate until the end of this year (December 2021). Families with children and youth supported by the Children’s Foundation through the Food & Friends Program are eligible to submit a request for a Food & Friends at Home kit. This kit will provide one snack for each day of a two-week period similar to what would be provided through a Food & Friends student nutrition program.

To register for a Food & Friends at Home kit, please fill out the following request form:

ONLY ONE REGISTRATION PER FAMILY IS NEEDED
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Email: *
First and Last Name of Parent(s) / Guardian(s): *
Phone Number (########## - no (),- or 1): *
Street Number: *
Street Address: *
Unit / Apartment Number:
City: *
Do you want the Food & Friends at Home kit left at your door if you are not home? Please note: Food & Friends at Home kits cannot be left at apartment buildings doors. Also note: The Children's Foundation is not liable for any food safety/spoilage concerns if your food is left at your door. *
Any additional notes for delivery? (for example knock on door, side entrance, leave with neighbour at this address...,)
GUELPH REGISTRANTS ONLY: Preferred Delivery Time: Please note: Delivery delays can happen, so please be patient. (Preference cannot be guaranteed). WELLINGTON AND DUFFERIN REGISTRANTS WILL RECEIVE KITS BETWEEN 2pm-7pm *
How many children aged 4 - 13 in the home? (for example 3) *
How many youth aged 14 - 18 in the home? (for example 3) *
Please name the school(s) your child(ren) / youth attend (for example Primrose, St. John). If at a Remote School please identify the usual school they would attend: *
Are there any allergies or dietary restrictions we should know about? Please check all that apply below: To ensure efficiencies of the overall process, it will be challenging to accommodate “dietary preference” requests. *
Required
Please describe other:
Food Allergies: To provide the greatest benefit to recipients, we are unable to guarantee package contents in order to address food allergen concerns. Please confirm the parent/guardian acknowledges this by clicking "Yes" below, which will absolve the Children's Foundation of any food allergen liability. *
Required
Consent: To accept your registration, you must give consent to share the information in this form with our food support partners, packing and driving volunteers. This may include such partners as the Orangeville Food Bank, Central Pentecostal Church and The SEED. Please confirm the parent/guardian acknowledges this by clicking "Yes" below, to give consent. *
Required
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