Food Bank Registration Form
Fill in this form if you are in need of food relief. If you live, work or study in the Covent Garden, Holborn, Soho areas and are in need of food relief please get in touch. Many people who have never needed help before find themselves in need right now - in particular those working in the Arts, Theatre, Music and the Hospitality Industry. Covent Garden Community Centre & Dragon Hall Trust are here to help as much as we can. Fill in this form to access our Food Bank. We never know what is available but we will make every effort to get it sorted.
Email *
Full Name *
Address *
Postcode *
Phone Number *
Borough of residence *
Household Size (number of people needing assistance) *
Please tick the box for size of parcel *
Names of other household members and ages of children if included *
Can you collect the food parcel by appointment?
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If you can't collect please tell us why? We can help more people if it is possible for them to collect. We can arrange delivery if you are isolated, shielded or if health means you can't get out. *
Do you have any allergies or dietary restrictions due to any health issue or cultural reasons? Let us know if you are vegetarian or vegan etc *
If yes, please tell us what the restriction is. *
Reason for application *
Do you need help with collecting medicine
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Is a telephone befriending service of interest? We can organise someone to call and check in with you every couple of days
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Who can we contact in an emergency?
Apart from food are there any other products you are in need of? For example hygiene products, baby items, cleaning supplies?
Which Centre is nearest your residence
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How did you hear about the foodbank?
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