Jubilee Foods Registration Form
This registration form is to collect information about how the Jubilee Foods program (delivered by NCCEEP) is being used in our community. The information received will not be shared or used with anyone outside of the NCCEEP organization.
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Email *
How did you hear about Jubilee Foods? *
When was the last date you used the Jubilee Food Bank?
(Please skip this question if you have not used the food bank yet)
First Name *
Last Name *
Phone Number *
Can we add your email to our NCCEEP community email list? 
NCCEEP uses this email list to send out information about upcoming events/programs.
 *
Age *
Are you a university/college student? *
Are you a senior (60+)? *
Are you a newcomer to Canada? *
Ethnicity/racial background (Check all that apply)
Please add if not listed.
 *
Required
Total number of children in the household (age 0 -17) *
Total number of seniors in the household. (age 60+) *
Total number of adult family members (age 18-60+) in the household. (Please include yourself in the number) *
Select ages of children in your household. (Check all that apply)
Types of items needed:
Would you like to volunteer with the Jubilee Food Bank service?
Clear selection
Would you like to request an appointment for grocery pick-up?
Clear selection
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