2024 Fort Saskatchewan Food Bank Christmas Hamper / Toy Application Form

Please fill in the following for Adult 2:
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemaleTransgenderOther
Relationship to Primary Applicant*
Please upload a copy of their Government Issued Photo ID.*

(Driver's License, Passport, AB Health Care Card, etc)
Cancelof
Please upload a copy of recent (within 2 months) proof of residency in Fort Saskatchewan. (utility bill, etc).*

(bill within last 2 months, etc)
Cancelof
I, a FSNC representative, have verified the government issued photo ID for this individual.*

YesNo
I, a FSNC representative, have verified a copy of recent proof of residency for this individual.*

YesNo

Please fill in the following for Adult 3:
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemaleTransgenderOther
Relationship to Primary Applicant*
Please upload a copy of their Government Issued Photo ID.*

(Driver's License, Passport, AB Health Care Card, etc)
Cancelof
Please upload a copy of recent (within 2 months) proof of residency in Fort Saskatchewan. (utility bill, etc).*

(bill within last 2 months, etc)
Cancelof
I, a FSNC representative, have verified the government issued photo ID for this individual.*

YesNo
I, a FSNC representative, have verified a copy of recent proof of residency for this individual.*

YesNo

Please fill in the following for Adult 4:
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemaleTransgenderOther
Relationship to Primary Applicant*
Please upload a copy of their Government Issued Photo ID.*

(Driver's License, Passport, AB Health Care Card, etc)
Cancelof
Please upload a copy of recent (within 2 months) proof of residency in Fort Saskatchewan. (utility bill, etc).*

(bill within last 2 months, etc)
Cancelof
I, a FSNC representative, have verified the government issued photo ID for this individual.*

YesNo
I, a FSNC representative, have verified a copy of recent proof of residency for this individual.*

YesNo

Please fill in the following for Adult 5:
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemaleTransgenderOther
Relationship to Primary Applicant*
Please upload a copy of their Government Issued Photo ID.*

(Driver's License, Passport, AB Health Care Card, etc)
Cancelof
Please upload a copy of recent (within 2 months) proof of residency in Fort Saskatchewan. (utility bill, etc).*

(bill within last 2 months, etc)
Cancelof
I, a FSNC representative, have verified the government issued photo ID for this individual.*

YesNo
I, a FSNC representative, have verified a copy of recent proof of residency for this individual.*

YesNo

Please fill in the following for Adult 6:
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemaleTransgenderOther
Relationship to Primary Applicant*
Please upload a copy of their Government Issued Photo ID.*

(Driver's License, Passport, AB Health Care Card, etc)
Cancelof
Please upload a copy of recent (within 2 months) proof of residency in Fort Saskatchewan. (utility bill, etc).*

(bill within last 2 months, etc)
Cancelof
I, a FSNC representative, have verified the government issued photo ID for this individual.*

YesNo
I, a FSNC representative, have verified a copy of recent proof of residency for this individual.*

YesNo

Please fill in the following for Adult 7:
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemaleTransgenderOther
Relationship to Primary Applicant*
Please upload a copy of their Government Issued Photo ID.*

(Driver's License, Passport, AB Health Care Card, etc)
Cancelof
Please upload a copy of recent (within 2 months) proof of residency in Fort Saskatchewan. (utility bill, etc).*

(bill within last 2 months, etc)
Cancelof
I, a FSNC representative, have verified the government issued photo ID for this individual.*

YesNo
I, a FSNC representative, have verified a copy of recent proof of residency for this individual.*

YesNo

Please fill in the following for Adult 8:
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemaleTransgenderOther
Relationship to Primary Applicant*
Please upload a copy of their Government Issued Photo ID.*

(Driver's License, Passport, AB Health Care Card, etc)
Cancelof
Please upload a copy of recent (within 2 months) proof of residency in Fort Saskatchewan. (utility bill, etc).*

(bill within last 2 months, etc)
Cancelof
I, a FSNC representative, have verified the government issued photo ID for this individual.*

YesNo
I, a FSNC representative, have verified a copy of recent proof of residency for this individual.*

YesNo

Please fill in the following for Adult 9:
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemaleTransgenderOther
Relationship to Primary Applicant*
Please upload a copy of their Government Issued Photo ID.*

(Driver's License, Passport, AB Health Care Card, etc)
Cancelof
Please upload a copy of recent (within 2 months) proof of residency in Fort Saskatchewan. (utility bill, etc).*

(bill within last 2 months, etc)
Cancelof
I, a FSNC representative, have verified the government issued photo ID for this individual.*

YesNo
I, a FSNC representative, have verified a copy of recent proof of residency for this individual.*

YesNo

Please fill in the following for Child 1:
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemaleTransgenderOther
Relationship to Primary Applicant*
Please provide some details on this child as this will assist us in personalizing gifts. Please note that gifts are provided by the community, and while we make every effort to ensure gifts are personalized to each child, we appreciate your understanding that in no way can we guarantee you will receive every gift idea or wish list item. The more details you can provide, the easier it is for us to personalize the gift.
Interests, Gift Ideas, Clothing Sizes & Favourite Colours *
Please share with us any disabilities or other limitations that would help us choose an appropriate gift.
Please upload a copy of their Government Issued ID.*

(Driver's License, Passport, AB Health Care Card, Birth Certificate, Status Card, etc)
Cancelof
I, a FSNC representative, have verified the government issued photo ID for this individual.*

YesNo

Please fill in the following for Child 2:
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemaleTransgenderOther
Relationship to Primary Applicant*
Please provide some details on this child as this will assist us in personalizing gifts. Please note that gifts are provided by the community, and while we make every effort to ensure gifts are personalized to each child, we appreciate your understanding that in no way can we guarantee you will receive every gift idea or wish list item. The more details you can provide, the easier it is for us to personalize the gift.
Interests, Gift Ideas, Clothing Sizes & Favourite Colours *
Please share with us any disabilities or other limitations that would help us choose an appropriate gift.
Please upload a copy of their Government Issued ID.*

(Driver's License, Passport, AB Health Care Card, Birth Certificate, Status Card, etc)
Cancelof
I, a FSNC representative, have verified the government issued photo ID for this individual.*

YesNo

Please fill in the following for Child 3:
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemaleTransgenderOther
Relationship to Primary Applicant*
Please provide some details on this child as this will assist us in personalizing gifts. Please note that gifts are provided by the community, and while we make every effort to ensure gifts are personalized to each child, we appreciate your understanding that in no way can we guarantee you will receive every gift idea or wish list item. The more details you can provide, the easier it is for us to personalize the gift.
Interests, Gift Ideas, Clothing Sizes & Favourite Colours *
Please share with us any disabilities or other limitations that would help us choose an appropriate gift.
Please upload a copy of their Government Issued ID.*

(Driver's License, Passport, AB Health Care Card, Birth Certificate, Status Card, etc)
Cancelof
I, a FSNC representative, have verified the government issued photo ID for this individual.*

YesNo

Please fill in the following for Child 4:
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemaleTransgenderOther
Relationship to Primary Applicant*
Please provide some details on this child as this will assist us in personalizing gifts. Please note that gifts are provided by the community, and while we make every effort to ensure gifts are personalized to each child, we appreciate your understanding that in no way can we guarantee you will receive every gift idea or wish list item. The more details you can provide, the easier it is for us to personalize the gift.
Interests, Gift Ideas, Clothing Sizes & Favourite Colours *
Please share with us any disabilities or other limitations that would help us choose an appropriate gift.
Please upload a copy of their Government Issued ID.*

(Driver's License, Passport, AB Health Care Card, Birth Certificate, Status Card, etc)
Cancelof
I, a FSNC representative, have verified the government issued photo ID for this individual.*

YesNo

Please fill in the following for Child 5:
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemaleTransgenderOther
Relationship to Primary Applicant*
Please provide some details on this child as this will assist us in personalizing gifts. Please note that gifts are provided by the community, and while we make every effort to ensure gifts are personalized to each child, we appreciate your understanding that in no way can we guarantee you will receive every gift idea or wish list item. The more details you can provide, the easier it is for us to personalize the gift.
Interests, Gift Ideas, Clothing Sizes & Favourite Colours *
Please share with us any disabilities or other limitations that would help us choose an appropriate gift.
Please upload a copy of their Government Issued ID.*

(Driver's License, Passport, AB Health Care Card, Birth Certificate, Status Card, etc)
Cancelof
I, a FSNC representative, have verified the government issued photo ID for this individual.*

YesNo

Please fill in the following for Child 6:
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemaleTransgenderOther
Relationship to Primary Applicant*
Please provide some details on this child as this will assist us in personalizing gifts. Please note that gifts are provided by the community, and while we make every effort to ensure gifts are personalized to each child, we appreciate your understanding that in no way can we guarantee you will receive every gift idea or wish list item. The more details you can provide, the easier it is for us to personalize the gift.
Interests, Gift Ideas, Clothing Sizes & Favourite Colours *
Please share with us any disabilities or other limitations that would help us choose an appropriate gift.
Please upload a copy of their Government Issued ID.*

(Driver's License, Passport, AB Health Care Card, Birth Certificate, Status Card, etc)
Cancelof
I, a FSNC representative, have verified the government issued photo ID for this individual.*

YesNo

Please fill in the following for Child 7:
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemaleTransgenderOther
Relationship to Primary Applicant*
Please provide some details on this child as this will assist us in personalizing gifts. Please note that gifts are provided by the community, and while we make every effort to ensure gifts are personalized to each child, we appreciate your understanding that in no way can we guarantee you will receive every gift idea or wish list item. The more details you can provide, the easier it is for us to personalize the gift.
Interests, Gift Ideas, Clothing Sizes & Favourite Colours *
Please share with us any disabilities or other limitations that would help us choose an appropriate gift.
Please upload a copy of their Government Issued ID.*

(Driver's License, Passport, AB Health Care Card, Birth Certificate, Status Card, etc)
Cancelof
I, a FSNC representative, have verified the government issued photo ID for this individual.*

YesNo

Please fill in the following for Child 8:
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemaleTransgenderOther
Relationship to Primary Applicant*
Please provide some details on this child as this will assist us in personalizing gifts. Please note that gifts are provided by the community, and while we make every effort to ensure gifts are personalized to each child, we appreciate your understanding that in no way can we guarantee you will receive every gift idea or wish list item. The more details you can provide, the easier it is for us to personalize the gift.
Interests, Gift Ideas, Clothing Sizes & Favourite Colours *
Please share with us any disabilities or other limitations that would help us choose an appropriate gift.
Please upload a copy of their Government Issued ID.*

(Driver's License, Passport, AB Health Care Card, Birth Certificate, Status Card, etc)
Cancelof
I, a FSNC representative, have verified the government issued photo ID for this individual.*

YesNo

Please fill in the following for Child 9:
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemaleTransgenderOther
Relationship to Primary Applicant*
Please provide some details on this child as this will assist us in personalizing gifts. Please note that gifts are provided by the community, and while we make every effort to ensure gifts are personalized to each child, we appreciate your understanding that in no way can we guarantee you will receive every gift idea or wish list item. The more details you can provide, the easier it is for us to personalize the gift.
Interests, Gift Ideas, Clothing Sizes & Favourite Colours *
Please share with us any disabilities or other limitations that would help us choose an appropriate gift.
Please upload a copy of their Government Issued ID.*

(Driver's License, Passport, AB Health Care Card, Birth Certificate, Status Card, etc)
Cancelof
I, a FSNC representative, have verified the government issued photo ID for this individual.*

YesNo

Please fill in the following for Child 10:
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemaleTransgenderOther
Relationship to Primary Applicant*
Please provide some details on this child as this will assist us in personalizing gifts. Please note that gifts are provided by the community, and while we make every effort to ensure gifts are personalized to each child, we appreciate your understanding that in no way can we guarantee you will receive every gift idea or wish list item. The more details you can provide, the easier it is for us to personalize the gift.
Interests, Gift Ideas, Clothing Sizes & Favourite Colours *
Please share with us any disabilities or other limitations that would help us choose an appropriate gift.
Please upload a copy of their Government Issued ID.*

(Driver's License, Passport, AB Health Care Card, Birth Certificate, Status Card, etc)
Cancelof
I, a FSNC representative, have verified the government issued photo ID for this individual.*

YesNo

Toy Pick-Up Option

This year, we are encouraging families who are able to pick up their toy packages at the Fort Saskatchewan Nourishment Centre (Food Bank) on one of the Saturdays listed below. Food hampers will still be delivered on December 21 between 9 AM and 2 PM, and if picking up toys isn’t possible, we’re happy to deliver them with the food hamper on that day.
Please indicate which option works best for your family:*

November 30, 10am-2pmDecember 7, 10am - 2pmI am unable to pick up and would like the toys delivered with my food hamper on December 21.

Should be Empty:

2024 Christmas Hamper Application