Recipient Camp Form

Camp Information

CAmp NameCharitable/Not-For-Profit Registration No.Address

Address food will be delivered to.

Street AddressCityPostal Code

Unit/FLOOR/SUITE/P.O. BoxProvince

Parking Details

Camp Details

Does your organization currently access food through Second Harvest?Yes, through the Second Harvest Food Rescue AppYes, through he Direct Delivery programYes, through the pick up programNoHow many campers attended last year?What age groups does your camp serve?

Select all that apply.

Children (0-14)Youth (15-24)Adults (25-64)Seniors (65+)

Camp Start Date

Camp end Date

Hours staff can receive food

Total # of lunches needed per day

Total # of vegetarian lunches needed per day

# days you do not need lunchesDates you do not need lunches

Is there a fee to attend your camp?

IF yes, what is the weekly fee?

How will your camp provide food if not selected for the Feeding Our Future program?

Contact Information

Primary ContactNamePhoneEmail Address

Onsite ContactNamePhoneEmail Address

Alternate ContactNamePhoneEmail Address

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Recipient Camp Form

Camp Information

Camp Details

Contact Information

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