• Snacks & Sneakers - Back to School Program

  • Registration

    Registration begins the moment this jot form goes live, and ends August 13th, 2026. This service is for caregivers with custody of chlidren. The program services Port Colborne and Wainfleet residents. Please only submit one request per household.

     

    If you have any questions, reach out to Meagan Wormald (Manager,  Reach Out Centre and Support Services) at meagan.gallant@portcares.ca or call 905-834-3629 Ext. 104.

     

    Process

    Once you fill out this application, our staff will connect with you via email to confirm approval. Pick ups will start on the day of our back-to-school event (August 20th) and the last day for pick up will be August 31st, 2026. 

    **Supplies and backpacks will be provided on a first-come first-serve basis.

     

  • For the next step, please fill out the information for each child applying for the back to school program. 

  • Child 1

  • Child 1 Gender*
  • Child 2

  • Child 2 Gender
  • Child 3

  • Child 3 Gender
  • Child 4

  • Child 4 Gender
  • Child 5

  • Child 5 Gender
  • Child 6

  • Child 6 Gender
  • Child 7

  • Child 7 Gender
  • Please know that the families proof on income, proof of residency and identifications for themselves and children are required in order to submit the application for the back-to-school program. This step in the process will be required on the last page. If unable to provide it at this time, please "Save" this application for when you do have the required documents. If you have any questions, please contact Meagan Wormald at meagan.gallant@portcares.ca 

  • Format: (000) 000-0000.
  • CONSENT TO COLLECT, RELEASE, USE, STORE AND DISCLOSE INFORMATION

  • In accordance with The Federal Personal Information Protection and Electronic Documents Act (PIPEDA); The Personal Health Information Protection Act (PHIPA) of Ontario; Ontario's Freedom of Information and Protection of Privacy Act (FIPPA) and the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

    Hereby consent to the collection, use, storage and disclosure of my personal information with:

    PORT CARES

  • Thank you for filling out the Back-to-school program application. You are almost done, however there are a couple required documents to be uploaded in order to submit this application. 

    The documentation required are as follows:

    • Proof of Household Income
    • Proof of residency
    • Identification for Caregivers and Children 

    These documents are required in order to be approved for the program. If you would like to submit this information online but do not have the information on hand, click "Save" below to create a draft, and then "Skip Create an Account" if you do not have a jotform account. You will get the option to send the draft link to your email, or save the draft link directly.

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Should be Empty: