Food Assistance Application
If you are in need of food assistance, please fill out the form below to be put on our waitlist.

At the moment we do not have an estimated delivery time, however we will be in touch shortly with an estimated delivery window.

*Your responses are voluntary and will be confidential.


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Email *
First Name *
Last Name *
Phone Number ( for example 4168325639) *
Street Address ( for example 1901 Weston Rd) *
Unit/Apartment Number (if applicable)
Buzzer or Door code
Any delivery instructions for our drivers *
Postal Code (M3M1X1) *
Please choose a delivery day when you will be available between 12pm and 7pm
Number of people in household? *
Number of children (birth-12) in household?
Number of youth  (13-18) in household?
Number of youth  (19-29) in household?
Number of Adults (30-64) in household?
Number of Seniors (65+) in household?
Please describe your household
Do you have any dietary preferences?
Do you have any dietary restrictions? ( Eggs, Nuts, Dairy, Other)
Do you or any family members have a history these health conditions? (Please select all that apply)
How do you identify? (please select one) *
Required
Immigration Status
**This question is not mandatory and responses will be kept confidential and only used for reporting and grant writing.
Is anyone in your household currently employed?
Is anyone in your household receiving financial support from the government? ( select all that applies)
Clear selection
What is your current housing situation?
Clear selection
We would like to hear from you, is there any other support that you need during this COVID-19 Pandemic?
How did you hear about us? *
This initiative is supported by:
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