City of Iqaluit | Supporting Inuit families
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New Registration
Change Store Account
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Change Store Account
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Child's Name
*
First
Last
like to store
Child’s date of birth
*
Parent's Name
*
First
Last
Which store would you like to shop from for food program?
*
Arctic Ventures Co-op
Bayside Foods
D.J. Specialties
Northern Shopper
NorthMart
Check if the child is aged 0-4?
Select which store you like to shop from for the diaper program?
*
Arctic Ventures Co-op
Bayside Foods
D.J. Specialties
Northern Shopper
NorthMart
Name of person completing the application
*
Declaration
*
I confirm that the information provided is accurate, correct and complete and that the documents submitted along with this application form are genuine. Any incorrect or false information may result in denied application or funds owing to the City of Iqaluit to reimburse costs.
Submit
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