East Sooke Together - Client Intake
Preferred First Name
Phone number and email
Preferred contact, email or phone? If possible, email is a little easier for us.
Your closest neighbourhood
East Sooke Road - select the nearest neighbourhood
How can we help? REMEMBER: Do not share your personal bank or debit information with anyone.
Essential Grocery Shopping/ Medical Supplies/ Prescription Pick-up
Regular, friendly phone call
Is there anything else you would like to tell us?
By clicking SUBMIT you agree to your data being stored by the volunteer group East Sooke Together (EST)*, for COVID-19 aid purposes only. Please indicate your consent for data sharing within this group. You may withdraw consent at any time by emailing
or leaving a message including your name and phone # at 778-400-5442. (*EST is sponsored by the East Sooke Neighbourhoods Association.)
I agree to having my data stored and shared with East Sooke Together volunteers.
I disagree. Note: You cannot be referred for services.
Send me a copy of my responses.
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