Christmas Village Gift Program
Wait list registration only! Thank you for your interest in our program. You will be contacted if and when the program has availability.
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Client Information
Name
*
First Name
Last Name
Applicant's Date of Birth
*
-
Month
-
Day
Year
Date
Gender Identity
*
Please Select
Male
Female
Transgender
Prefer not to answer
Marital Status
*
Please Select
Single
Married
Common-law
Divorced
Separated
Widowed
Prefer not to answer
Proof of Identification - 2 (two) pieces of valid identification, government issued ID is required in order to apply for serviced through The Salvation Army Ridge Meadows Ministries.ID may include:BC Drivers License (BCDL), Passport, Canadian Birth Certificate, BCID, BC Services Card, Canadian Citizenship Card, Permanent Resident Card, Canadian Record of Landing/Canadian Immigration Identification Record, or Indigenous Status Card.
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I will book an appointment to provide proof of identification in person.
I can not provide proof of identification.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
No fixed address
Select
Phone Number
*
Please enter a valid phone number.
Email of applicant (or their representative).
*
example@example.com
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Client Information
Sources of Household Income
*
No Income
Full time employment (35+ hrs a week)
Part time employment
Canadian Pension Plan (CPP)
Child Tax Benefit (CTB)
Employment Insurance
Guaranteed Income Supplement (GIS)
Other
Total Household Income (if applying on behalf of someone else, please estimate)
*
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How many people in your household? (Eg. how many people would we be shopping for in your family?)
Please list your family members below (including name, age, and gender)
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Applicant must accept in order to receive services.
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I have read and understood the information above, and by signing this document I agree that The Salvation Army may collect, use and disclose my personal information for the purposes mentioned above. I also agree that my personal information may be entered in to The Salvation Army Client Management System and/or The Salvation Army Link2Feed Client Intake software.
Applicant must accept in order to receive services.
*
In applying for assistance from The Salvation Army on behalf of my household, and sharing information about my family members, I confirm that I am sharing this information with the knowledge and permission of all household members age 18 and over (AB, SK, MB, ON, PE, QC), or age 19 and over (BC, NT, NU, YT, NB, NL, NS).
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Duplication of Services Disclaimer
If you are registered with another community program we may not be able to accept your application. By completing this online registration, community partners, such as, but not limited to The Christmas Hamper Society will be notified of your application to ensure you/your family are receiving the best Christmas Hamper you can receive, and that no duplication of services has occurred. If, for any reason, The Salvation Army can not fulfill your application for services, we will refer you to another program that may be a better fit.
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I accept the statement above, and agree to not duplicate services with another agency/community support. If I need to withdraw my application, I will notify The Salvation Army ASAP.
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Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
Submit
Submit
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