Food Centre Registration Form

If you have any questions, please call (604) 814 – 3333 or email [email protected].

    Please check one

    Self-Identify As

    Spouse/partner Information

    Dependants

    Disclaimer And Signature

    I/We declare that the above information is true and give Mission Community Services Society and the Mission Food Centre/Christmas Bureau permission to verify this information.

    I/We would like our information to be shared with the MCSS Christmas Bureau for registration purposes only.

    Applicant's E-Signature

    Spouse/Partner's E-Signature