Client Registration Form

Please Note:

Due to a shortage of groceries, produce and volunteers we are only able to be open for visits on Tuesdays from 12:00 until 1:00pm.

Monthly Hampers are available once a month- the 2nd Tuesday of the month only. However, we occasionally have “Extras” available and provide what we can on each and every Tuesday. Surplus is often limited, and provided as is available.

For New Clients

Families/Couples/Singles in need of food assistance may apply for support by registering at the Food Bank on Tuesdays from 11:30- 1:00 pm, or you may complete and submit the online application form or feel free to right-click to print it and then bring it with you when you come in person.

Emergency Hampers

Due to the fact that we are open every Tuesday from 12-1 pm, emergency hamper applications must be submitted prior to 11:00am on the Tuesday you will pick up, this will allow us to prepare any extras you would normally have in a monthly hamper. We can help provide the items you need that would normally come in your monthly hamper.

Our suggestion is for you to come any or all Tuesdays from 12-1 pm, during that time we can offer you extras, and each week after that as long as you need our services.

We are Closed everyday for client visits- with the exception of Tuesdays from 12:00-1:00 pm

Application Form

Name

First Name

Last Name

Address, City, Postal Code

If no address, type None

Phone Number

If no number place a contact number

Birthdate

(Month, Day, Year)

Gender Identity

Primary Language

Marital Status

Housing Type

Do you have a Disability?

Citizenship-In Canada 10 yrs. or less

Post Secondary Student

Racial Identity

Primary Source of Income

Household Members

Household Medical/Food Allergies

Reason for Request

Your Email

RECIPIENT UNDERSTANDING AND DECLARATION OF INFORMATION

Declaration * I understand that all information noted here is completely confidential. A FOOD HAMPER MAY CONTAIN: A "best before" or "use by date" that has expired *canned food may be dented; canned goods are good past their expiry date for up to 4 years I AGREE to accept ANY risk associated as noted above however, if there is a concern, it is suggested you discard these items. I DECLARE that the information given is truthful and that Misrepresentation of any information may result in being dismissed from using the LUMBY Food Bank. *Should questions arise based on the information provided, a request for further clarification may be requested. The LUMBY Food Bank reserves the right to verify the information provided. The LUMBY Food Bank may contact other area Food Banks to ensure that there is no overlap of services. I agree to the Recipient Understanding and Declaration of information.

I agree

Hampers, Emergencies and Extra’s

Our weekly “Extra’s” are on Tuesdays between 12:00 and 1:00. This is where we distribute any extra fresh produce, meat, and product that may have come in the previous Saturday through our food recovery program.

Our “Monthly” regular Hamper is on the Second Tuesday of the month… between 12:00 and 1:00. During this hamper week you will go home with anything we have that’s fresh, including milk, margarine, and eggs, as well as canned veggies, pork & beans, canned fish, Mac & Cheese, Pasta, Juice, and cereal, as we have supplies. We will offer you some frozen meat as well. it’s during this special hamper day that you are able to request a couple of the other things you may need that we have on hand, such as condiments, soap, sugar, coffee, peanut butter, jam, and pet food are examples.

For an “Emergency” hamper we ask that you call ahead to provide the information necessary or fill out the online application, then come in on Tuesday to do a pickup. This way you can get any fresh items we have. After Tuesday fresh veggies will be gone.

If we’ve got it, we are happy to share it! Please click on the Application form from any page, fill it in, print it off and bring it in or just submit it!