Please ensure that your client agrees with the following statement before submitting a request for assistance:

I give my consent for Canterbury Food Bank to contact the referral agency to discuss my circumstances, and I give my consent for this data to be held in a database:

• To enable food parcel control
• To produce statistical reports, which I understand will NOT contain my personal identification details.

Fuel bank personnel may contact the family as part of the charity’s Social Value measurements.

Holiday parcels are only issued to the children in the family attending the school.

Please note: Every box will need to be completed before the form can be submitted.