On-Line registration

During the COVID-19 crisis we are changing our procedures to speed client service. Please complete and submit the form below before your first visit. When you arrive you will be asked to confirm names and birth dates for each member of your household. Please note that we are a member of Feed The Need Durham and information is shared with other member agencies.

Please indicate your housing status. This information is used for statistical purposes only.







Please indicate source(s) of income. Check all that apply. This information is used for statistical purposes only.