New Client Registration

For best results, please complete this form using Google Chrome.

Last Name

First Name

Preferred Name (if different)

Date of birth

Gender Identity Gender Identity

Marital Status

Address - Street

Unit Number

Province

City

Postal Code

Housing Type Housing Type

Telephone

Photo Identification (Front of ID)

Maximum file size: 10MB

Please note: some individuals have been experiencing issues with uploading files. If you are having trouble, please contact us for help! Email info@cofoodbank.com or call 250-763-7161.

Photo Identification (Back of ID)

Maximum file size: 10MB

Please note: some individuals have been experiencing issues with uploading files. If you are having trouble, please contact us for help! Email info@cofoodbank.com or call 250-763-7161.

Proof of address (one piece required)

Maximum file size: 10MB

Please note: some individuals have been experiencing issues with uploading files. If you are having trouble, please contact us for help! Email info@cofoodbank.com or call 250-763-7161.

Spoken Language(s)

Do you identify as a person with a disability?

Have you been in Canada less than 10 years? Have you been in Canada less than 10 years?

Are you a Refugee?

Are you currently attending a Post-Secondary College, University, or Institute?

Highest education level completed:

Country of Education:

What is your household's primary source of income? What is your household's primary source of income?

Do any household members have dietary considerations or allergies?

Please attach any relevant medical documents here

Maximum file size: 10MB

As a Member of Food Banks Canada, the Central Okanagan Food Bank stores and shares certain data for the purpose of advocating to reduce food insecurity across Canada. COFB will not share any personal or identifying information with Food Banks Canada, or any other agency.

Contact Us

T: +1 (250) 763-7161
E: info@cofoodbank.com

Registered Charity Number
10756 1862 RR 0001

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New Client Registration

For best results, please complete this form using Google Chrome.

Additional Household Members. Please fill this out for each additional household member (if none, please click "Remove")