Transportation Registration | Meals on Wheels London, Ontario

"I feel like I’m riding in a limo every time I use the transportation program. The volunteers and staff are so friendly."

Transportation Registration

Complete this form if you're a wanting to register for the transportation program. The intake coordinator will call you to complete the registration.

Client Information

Name: *

Address Line 1: *

Address Line 2:

City / Town: *

Postal Code: *

Phone Number: *

Date of Birth: *

Name of person completing this form: *

Phone Number of person completing this form: *

Client Details

How did you find out about our program?: *

Do you use a cane , walker, or crutches?: *

Cane

Walker

Crutches

Nothing

Emergency Contact #1 Information

Name:

Address Line 1:

Address Line 2:

City / Town:

Postal Code:

Phone Number:

Emergency Contact #2 Information

Name:

Address Line 1:

Address Line 2:

City / Town:

Phone Number:

Postal Code:

Comments / Questions / Requests:

What's New

Thank you to all who participated in Christmas day delivery

Thank you everyone who made the Meals on Wheels Christmas day delivery special for our clients. Two staff, their families and 14 volunteer meal delivery “elves” helped deliver 99 meals. Along with a turkey dinner, gifts were provided by several businesses, groups and individuals:

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