Participant Enrollment

Farmers' Market Nutritional Coupon Program - Participant Enrollment Form
Name
Name
First
Last
Is anyone in your household Indigenous?
If Yes, please select:

What would you like to learn more about as part of this program? Check all that apply:

Skill & Experience in Preparing Food
Knowing About Nutritious Food
Organization, Skills, & Experience
Personal & Social Factors

Authorization

I agree to be a part of the BC Farmers' Market Nutrition Coupon Program. I understand the program provides fresh, local food for those who face financial challenges. I understand that these coupons are for my family's or my own personal use only.
These coupons will only be used by me/my family. Any unwanted tickets will be returned to the Central Okanagan Food Bank.