F1 - Apply for registration as a Sevenoaks Larder client
In registering with us, we will assume that you are happy for us to share your details with any volunteers who will deliver to you on our behalf. These details will be deleted as soon as you are no longer registered with us.
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Email *
Full Name - first name & surname *
Address *
Contact number *
Number of adults in household *
Number of children in household *
Are there any adults aged over 65 in your household? *
Required
Is anyone in your household registered as disabled? *
Required
Do you receive, or have you applied for, any government benefits? *
If yes above, which benefits do you receive/have you applied for?  Tick all that apply. *
Required
If you are not in receipt of any means tested benefits (or waiting to hear about benefits), please tell us your usual household income per month (after tax) *
We work collaboratively with other local food banks to ensure that we do overlap client registers. Are you currently receiving food from another food bank?

 *
Required
If you live in a housing association property, please tell us which one (eg West Kent Housing) *
What is your main reason for needing our support? (eg debt, ill health, problems with benefits, out of work, ill health etc) *
Are you getting help from any other advice or support agencies with your situation (eg CAB etc)? If so, which ones? *
Have you received food support from us in the past? *
When are you able to come to the Larder to collect your food? Tick all that apply *
Required
Does anyone in the family have any allergies that you would like us to note? *
Does anyone in the family have any specific dietary requirements that you would like us to note? *
Does anyone in the family have any other health/mobility issues that you would like us to note? *
How/where did you hear about us? *
Anything else you would like us to know about your situation/household? *
By accepting food from Sevenoaks Larder you are agreeing to us using your data as explained in the Privacy Notice on our website. Click here for full details www.sevenoakslarder.co.uk/privacynotice
 *
Required
A copy of your responses will be emailed to the address you provided.
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