Online Client Registration Form

For New Clients

Families in need of food assistance my apply for support if they meet the following requirements:

  • Proof of residency in Lake Country (rent, receipts, utility bills, Driver's Licence)

  • Proof of current address (rent receipts, utility bills, etc.)

  • Source of income for all adults on file (Social Assistance, Disability Student Loans, Pay Stubs, etc.)

  • I.D. for all adults (persons over 18 years). This can be in the form of a Driver's Licence, Care Card, Student ID, B.C. I.D. or social insurance number.

  • I.D. for all minors (persons under 18 years). This can be in the form of a BC Care Card or Birth Certificate.

How to Register

You may register by attending the food bank on Thursdays between the hours of 1:00 and 2:30. You may print off the application form and bring it with you or you may complete our online application form. REMEMBER TO BRING SUPPORTING DOCUMENTATION AS NOTED ABOVE.

Applicant Information
Name *
Name
Date *
Date
Address *
Address
Phone *
Phone
Family Information
Family Information
Include name, date of birth, age, bc health care number and relationship to applicant
Family Composition *
Housing Type
Monthly Income
Total monthly HOUSEHOLD income
$
$
$
$
$
$
$
$
$
$
Monthly Expenses
Total Household Expenses
$
$
$
$
$
$
$
$
$
$
$
RECIPIENT UNDERSTANDING AND DECLARATION OF INFORMATION
Declaration *
I understand that I am assigned a hamper day and I must arrive at least ½ hour prior to the scheduled food bank closure hours. Unexpected drop-in is not encouraged and may result in a request to return on your assigned day. Emergency situations are on a case-by-case basis and approved by the Food Bank coordinator prior to a change in an assigned day. There is a zero tolerance for verbal and physical abuse. Observation of recent drug or alcohol usage will result in a request to leave the premises. A FOOD HAMPER MAY CONTAIN: A "best before" or "use by date" that has expired *canned food may be dented; discard after opening if contents spray out after opening (note: canned goods are good past their expiry date for up to 4 years). I AGREE to use ALL items as soon as possible and accept ANY risk associated as noted above however, if there is a concern, it is suggested you discard such items. I DECLARE that the information given is truthful and that income information has not been withheld or misrepresented. Misrepresentation includes claiming single status rather than couple status, children and other adults residing in the residence that change the status to family. The hamper status determines the size of the hamper received. Misrepresentation of any information may result in being dismissed from using the Lake Country Food Bank. *Should questions arise based on the information provided, a further request for documentation may be requested. The Lake Country Food Bank reserves the right to verify the information provided. The Lake Country Food Bank may contact other area Food Banks to ensure that there is no "double dipping". The exception to the rule is using the Salvation Army resources in Kelowna.