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Submit a one-time application to become a customer of Kelowna Meals On Wheels.

Name
Customer Date of Birth
Address
What is the Customer's Primary Phone Number?

How did you hear about Kelowna Meals On Wheels?

How did you hear about Kelowna Meals On Wheels?

You need to agree to the Terms Of Use below in order to get meals:

  • By enrolling in this program, I consent for Kelowna Meals on Wheels to gather client specific information, to be shared as necessary with staff and volunteers for the purposes of meal preparation, delivery, and billing.
  • I consent to release personal information to the contacts listed, volunteers, or others determined necessary by Kelowna Meals on Wheels to provide services.
  • I consent to receive periodic correspondence of various formats from Kelowna Meals on Wheels. This may include correspondence about orders and payments and may also include well-being checks.
  • I understand that there is a 5 meal package trial order and that if I cancel service before I receive 5 meal packages I will be charged for the full 5 meal trial order.
  • I understand that the person paying for service will be charged for the meal(s) if a delivery attempt is made and there is no one available to receive the order.
  • I understand that I will be charged the full meal price for short-notice cancellation. All cancellation notifications must be made 48 hours prior to required cancellation by calling 250-763-2424 (please leave a message if there is no answer at the time of call).
Terms of Use (required)

I consent to a Kelowna Police Service Welfare Check if I do not answer for delivery or subsequent calls and if my emergency contacts cannot be reached or cannot get ahold of me.

Police consent
Accommodation (required)
Reside (required)
Medical Questions, do you have any of the following?
Please tell us which days you would like to receive a meal delivery (required)
Desired Delivery Start Date (required)
Are you diabetic?

Allergy Disclosure

At  Meals on Wheels Kelowna, we prioritize the health and safety of our clients. We work closely with Little Hobo Restaurant and take every precaution to maintain food safety through proper food handling, preparation, and storage. To receive daily fresh meals, we require that clients disclose any potential food allergies and sensitivities. Allergens that are at risk for cross contamination include, but are not limited to:

  • Dairy
  • Eggs
  • Wheat (gluten)
  • Soy
  • Shellfish
  • Fish
  • Sesame
  • Mustard

Please note, should you disclose that you have any of the allergies listed above (but not limited to), we may reserve the right to decline services.

To sign up, you acknowledge and agree to the following:

  • I understand that Meals on Wheels Kelowna cannot guarantee the absence of allergens in the meals provided.
  • I accept responsibility to manage dietary needs which includes informing Meals on Wheels Kelowna of the development of any new allergies or food sensitivities.
  • I understand that Meals on Wheels Kelowna is not liable for any allergic reactions or health issues that arise from consuming provided meals.
  • I have disclosed all known allergies/dietary restrictions/food sensitivities to the best of my knowledge.
  • I understand that I must eat or freeze the fresh meal within three days upon receiving the delivery to ensure food safety.
I have read and acknowledge the terms and conditions of the Allergy Disclosure Acknowledgement above
Please select if you would like your meals to be specially prepared
Our main meals come in a microwave-safe dish. Do you have a microwave?

Would you like to select your own meals or have our staff select for you?

Would you like to select your own meals or have our chef select for you?

Please share any special instructions for accessing the customer’s front door for meal deliveries.

May we contact the client for all matters relating to this service?

Provide the emergency contact of the customer.

Emergency Contact Name
What is the Emergency Contact's Primary Phone Number?