New Client Registration

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

New Client Registration - 2025

New Client Registration Form

The information collected in this form is used for anonymous reporting only. Your answers will be kept confidential.

Your Name

First Name

Last 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 [email protected] 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 [email protected] or call 250-763-7161.

Spoken Language(s)

Do you identify as a person with a disability?

Are you a newcomer to Canada? Are you a newcomer to Canada?

Do you Identify as a Refugee or Asylum Seeker?

Are you a Seasonal Agricultural Worker?

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?

Allergies (Please Specify)Allergies (Please Specify)

Celiac/Gluten-Free

Halal - strict

Halal - chicken okay

Lactose Intolerant

Vegan

Vegetarian

Please attach any relevant medical documents here

Maximum file size: 10MB

Client Code of Conduct: To maintain a safe and respectful environment, all clients must follow our Client Code of Conduct.

I agree to the Client Code of Conduct and understand that failure to follow this code, including selling food or items received from the food bank may result in suspension or termination of services.

To read our complete Client Code of Conduct, please visit: https://cofoodbank.com/code-of-conduct/

Data Collection & Privacy Information: By signing/checking this box, you understand and agree that your information is used to determine your eligibility for food, manage programs, and understand community needs. COFB may share your information with Food Banks Canada and Link2Feed to manage services. You confirm you have the permission of all adults in your household to share their information.

I have read the above and agree to the collection, use, and disclosure of my personal information as described.

To view our complete Privacy Policy, please visit https://cofoodbank.com/privacy-policy/

If you are human, leave this field blank.

© Copyright 2026 Central Okanagan Food Bank. All Rights Reserved.

With gratitude, the Central Okanagan Food Bank acknowledges the syilx/Okanagan people, on whose unceded lands we serve. We commit to caring for this land and community with respect and care.

Contact Us

T: +1 (250) 763-7161
E: [email protected]

Registered Charity Number
10756 1862 RR 0001

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New Client Registration

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

New Client Registration Form

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