Christmas Hamper Application 2025 - Innisfil Community Church

Your name *

Email address *

Phone number *

Address *

Have you received a hamper from us before? *

Yes

How many people live in your home? *

min: 1 / max: 10

Household members

Please list all household members

Please indicate what services you are currently receiving *

Check all that apply.

Unemployed

Single Parent

ODSP

Ontario Works

Retired, Fixed Income

No assistance at this time

Other

Have you applied to Christmas Cheer, Christmas 4 Kids or any other local organizations for help at this time? *

Yes

Preferred pick-up day and time? *

(This does not guarantee you a hamper and/or time)

Morning

Afternoon

I live in Innisfil *

Innisfil residents only please.

Yes

Is there anything you would like to add? *

Please read the following declaration and click the YES button to confirm you agree with the statement. *

I am applying to receive assistance from the Benevolence Programs of Innisfil Community Church. I give my permission for Innisfil Community Church to share this information with other agencies in order to avoid unnecessary duplication of services and waste, or referral to others who may be able to provide further help and/or assistance. Further, I accept all food and goods as is and release Innisfil Community Church and Innisfil Food Bank of any and all liability or claims related to expiry dates or otherwise.

Yes