Pictou County Christmas Fund

Registration Form

Please complete all applicable fields of the registration form, including at least one form of contact (phone or email).

Please note: Registration deadline is November 29th, 2024

Registrations will not be accepted after this date.

First Name

Last Name

Date of Birth

Mailing Address (1)

Mailing Address (2)

Town

Postal Code

Phone

Please list additional household members, including ages of children.

Grocery gift cards will be issued based on family size. While we will do our very best to fill every request for assistance, we are unable to accept any registrations after the posted deadline.

**Distribution will take place at the Pictou County Food Bank East, located at 410 Granville Street, New Glasgow on December 17th and 19th from 1pm - 3pm. Please note, you will be required to present id/health card, including cards for all registered family members.**

I have reviewed and understand the terms of the registration process for the Pictou County Christmas Fund. In addition, I acknowledge the information I have provided is correct to the best of my knowledge.

I agree with this statement.