Hamper Registration

Hamper Registration
Consent, Eligibility & Important Information

Consent: By filling in this form, I consent to Follow Bless Collective, The Salvation Army Pakenham, Cardinia Shire Council and ADRA sharing information for the purposes of providing Emergency Relief via Christmas Hampers
Eligibility Criteria: To be eligible for a Christmas Hamper through Christmas Together, you must live or reside within the Cardinia Shire.
Important Information: All food & toys will be evenly distributed across all time slots. Please only register for a hamper once, it is one hamper per household address.
Your booking time is confirmed and you will receive a text message as confirmation.
I confirm I am eligible for the Christmas Together hamper as I reside within the Cardinia Shire*
Name*

First NameLast Name
Nationality
Indigenous Status*
Phone Number*

+610400 000 000
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you providing for a partner/spouse or any children?*
Who are you providing for? Please include details.
Income Source*

DSPWages/SalaryNewstartAged PensionParenting PaymentFamily Tax Benefit AYouth AllowanceCarers AllowanceAustudyNo incomePrefer not to say
Preferred Pick Up Timeslot*
NOTE: Please be aware that time slots cannot be altered once selected. If you need to change your scheduled time or circumstances change, you will need to contact Follow Bless Collective's office on 03 5943 2137.
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Hamper Registration

Consent, Eligibility & Important Information