Christmas Assistance Application 2024

Admin Use Only

PendingApprove - Toys & FoodApprove - Food OnlyDeny - NS - Out of CatchmentDeny - HP - Out of CatchmentDeny - Duplicate
This application is for The Salvation Army Connection Point located on the Westshore of Victoria (103-737 Goldstream Avenue).

The Christmas Giving Network is a group of agencies and food banks in Greater Victoria who work together to deliver Christmas in the community.

The Network shares application information, within the network, to best serve everyone. Apply to ONE agency only. If you have already applied to another organization in the network, your application will be denied.
- CFAX Santas Anonymous
- Next Steps Resource Centre
- High Point Family Services
- The Mustard Seed
- Goldstream Food Bank Society
- Saint Vincent de Paul
- Sooke Christmas Bureau
- Saanich Peninsula Lions Food Bank
In order to process your application, please ensure that the phone number, mailing address and email address are correct. If we cannot contact you, we cannot provide a hamper.
Your application to receive Toy and Food assistance from Connection Point has been approved!

Pickup is at 103-737 Goldstream Avenue.

You MUST bring government issued identification for EVERYONE in the household, including yourself, any other adults, and all children. Photocopies on paper, or a photo on your phone are acceptable.
Examples of accepted ID: driver's license, BC Services card, passport, birth certificate, citizenship card.

If your address is DIFFERENT than what is on your ID, you MUST bring additional proof of address.
Examples of additional proof of address: a phone bill, a utility bill, or other mail you've received through Canada Post.

Failure to arrive at your appointment time and/or failure to bring ALL required proof of ID will result in the need to reschedule, IF there is space.

On the following page you will choose your pick up time. Please record your chosen time into your own schedule at home. Reminder emails will be sent the week before, and the day before your pickup time.
Your application to receive Food assistance from Connection Point has been approved!

Pickup is at 103-737 Goldstream Avenue.

You MUST bring government issued identification for yourself, and any other adults in the household. Photocopies on paper, or a photo on your phone are acceptable.
Examples of accepted ID: driver's license, BC Services card, passport, birth certificate, citizenship card.

If your address is DIFFERENT than what is on your ID, you MUST bring additional proof of address.
Examples of additional proof of address: a phone bill, a utility bill, or other mail you've received through Canada Post.

Failure to arrive at your appointment time and/or failure to bring ALL required proof of ID will result in the need to reschedule, IF there is space.

On the following page you will choose your pick up time. Please record your chosen time into your own schedule at home. Reminder emails will be sent the week before, and the day before your pickup time.

1- Child's Name **Exactly as it appears on their ID *

First NameLast Name
1- Gender*
1- Birth Date*

MonthDayYear
1- Child's Age on Christmas Day
2- Child's Name **Exactly as it appears on their ID *

First NameLast Name
2- Gender*
2- Birth Date*

MonthDayYear
2- Child's Age on Christmas Day
3- Child's Name **Exactly as it appears on their ID *

First NameLast Name
3- Gender*
3- Birth Date*

MonthDayYear
3- Child's Age on Christmas Day
4- Child's Name **Exactly as it appears on their ID *

First NameLast Name
4- Gender*
4- Birth Date*

MonthDayYear
4- Child's Age on Christmas Day
5- Child's Name **Exactly as it appears on their ID *

First NameLast Name
5- Gender*
5- Birth Date*

MonthDayYear
5- Child's Age on Christmas Day
6- Child's Name **Exactly as it appears on their ID *

First NameLast Name
6- Gender*
6- Birth Date*

MonthDayYear
6- Child's Age on Christmas Day
7- Child's Name **Exactly as it appears on their ID *

First NameLast Name
7- Gender*
7- Birth Date*

MonthDayYear
7- Child's Age on Christmas Day
8- Child's Name **Exactly as it appears on their ID *

First NameLast Name
8- Gender*
8- Birth Date*

MonthDayYear
8- Child's Age on Christmas Day
9- Child's Name **Exactly as it appears on their ID *

First NameLast Name
9- Gender*
9- Birth Date*

MonthDayYear
9- Child's Age on Christmas Day

2- Adult's Name (not yourself) **Exactly as it appears on their ID *

First NameLast Name
2- Gender*
2- Birth Date*

MonthDayYear
3- Adult's Name **Exactly as it appears on their ID *

First NameLast Name
3- Gender*
3- Birth Date*

MonthDayYear
4- Adult's Name **Exactly as it appears on their ID *

First NameLast Name
4- Gender*
4- Birth Date*

MonthDayYear
5- Adult's Name **Exactly as it appears on their ID *

First NameLast Name
5- Gender*
5- Birth Date*

MonthDayYear
6- Adult's Name **Exactly as it appears on their ID *

First NameLast Name
6- Gender*
6- Birth Date*

MonthDayYear
7- Adult's Name **Exactly as it appears on their ID *

First NameLast Name
7- Gender*
7- Birth Date*

MonthDayYear
8- Adult's Name **Exactly as it appears on their ID *

First NameLast Name
8- Gender*
8- Birth Date*

MonthDayYear
9- Adult's Name **Exactly as it appears on their ID *

First NameLast Name
9- Gender*
9- Birth Date*

MonthDayYear

Toys and Food Pick Up Time
Food Pick Up Time

Additional Comments/Special Considerations:
By submitting my application, I confirm:*

I have not applied for help from any other Christmas Network agency.I will bring identification for all household members (including children) at pick up. Photocopies on paper, or a photo on your phone are acceptable. (Examples of accepted ID: driver's license, BC Services card, passport, birth certificate, citizenship card.)All information provided in this application is correct. If my address is DIFFERENT than what is on my ID, I will bring additional proof of address. (Examples of additional proof of address: a phone bill, a utility bill, or other mail you've received through Canada Post.)
Should be Empty: