Wait-list: Cedar Nutrition Coupon Program

Birth year: *

I am:

Check any/all that apply:

Single parent

A person with a disability

其他：

What is your annual family income? *

Do you agree to participate in a nutritional education component of this program? *

May include: sharing recipes, joining a food cooking demonstration at the market, OR participating in a closed Facebook group

What area do you live in? *

(Cedar, Chase River, Harewood, etc.)

To access the market, do you need bus fare? *

Yes

No

Maybe

How many people in your household are 55+?