Meals On Wheels
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Register

Please use the form below to sign up for meal service. Hot Meal Delivery can start as quickly as the next Meals on Wheels day after you sign up! For more information on the program, please visit our Hot Meal Delivery page or call 519-351-MEAL (6325).
  • General Information

  • (DD/MM/YYYY)
  • (i.e Use side door instead of the front door)
  • Living Situation

  • DD/MM/YY
  • DD/MM/YY
  • Please note: A representative from Meals on Wheels Chatham-Kent will contact you by phone to discuss meal delivery dates and times in your area.

    Dietary Needs

  • Contact #1

  • Contact #2

  • Terms and Conditions

    (You, "The client", must consent to #1 and #2 to begin service)