How to Register How to Register How to Register WLCC Food Bank Registration Today's Date: Client First Name*: Client Code: P: Client Last Name*: Date of Birth*: Gender: MaleFemale Phone*: Email*: Confirm Email*: Income Type: Address: Type of Housing: Proof of address/ID: Add Household Members Name: Relationship: DOB: Income Type: Client Code: ID Given: RemoveAdd Member How did you hear about us?: Do you need assistance applying for the Ontario Energy Savings Plan to receive a deduction on hydro? YesNo Would you like to apply for WLCC Housing Assistance? (those living in subsidized housing are ineligible) YesNo Would you like to apply for our Step-Up program? (reimbursement of children's recreational activities) YesNo Do you need assistance with your income tax? (we offer free assistance with a registered CRA volunteer) YesNo Would you like a referral to free mental health counselling? (on site counsellor available) YesNo Would you like a referral to free financial coaching? (on site help available) YesNo I hereby consent to the disclosure or transmittal to, or the examination by WLCC of any relevant information deemed necessary to determine my eligibility for the services from this Agency. I understand that any misinterpretation of facts on this application form may be grounds for ineligibility of servcies. I give my consent to West Lincoln Community Care to make referrals to other support agencies on my behalf. I agree and consent to be contacted by West Lincoln Community Care. Food Bank Hours Tuesday: 9:30 am – 4:00 pm Wednesday: 2:00 pm – 6:00 pm Thursday: 9:30 am – 4:00 pm Any questions? Email: email@example.com WLCC Boundary Map Need assistance? Contact our staff for help, we’re here to help with any of your concerns. Contact Us!