Are you hoping to use the Free Goods Program?* What brought you to the Free Goods Program?* What is your name?*
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Are you a client of the DI?* What is your email address?*
What is the password used for administration bookings?*
What is the name of the person you are booking a Free Goods appointment for?*
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The administrator option on this form is meant to be a placeholder for an appointment that was already booked manually/offline. As such, it will not have all the details of the Free Goods form. Please fill out the calendar below so that no one else can double book that time slot, and refer to the original booking for the details. What is the name of the client you are applying for?*
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What is your birthday?* What is your client's birthday?* What is your phone number?*
What is your client's phone number?*
What is your client's email address?*
If you do not have a cell phone or email address, please let us know what the best way to contact you is. We will need to contact you to confirm your appointment, so please ensure we have at least one way to get in touch.
If your client does not have a cell phone or email address, please let us know the best way to contact We will need to contact them to confirm your appointment, so please ensure we have at least one way to get in touch.
What is your your address?*
What is your client's address?*
If you're a current client at the DI, what is your case manager's name?
Which agency do you represent?*
When is the move-in date to your new home?
Date Format: MM slash DD slash YYYY
When is your client's move-in date?
Date Format: MM slash DD slash YYYY
The Free Goods Program is currently available to clients of the Calgary Drop-In Centre and to referrals from approved agencies. To learn which agencies can refer clients to the Free Goods Program, click here.
What items do you need?* You can pick up to 5 furniture items. What would you like? You have the option to select up to 5 items from the list below (1 each). Please do not select more than 5.
What household goods are you looking for? You may choose as many options as you want
Please confirm that you are looking for a computer through our Computers for Low-Income (CLIC) program. Are you looking for a computer through our Computers for Low-Income Calgarians (CLIC) program? Have you stayed (former client) at the Calgary Drop-In Centre within the last six months? Please note: the CLIC program is dependent on the generous support of our community, and as such we may not always have computers in stock. By registering for this program, you will be added to our list and will be contacted when a computer is available for you. How many adults are living or will be living in the household?*
How many children are living or will be living in the household?*
Are there any other items you need? If you know of something that you will need but did not see it on the list, please make a note of it here. Our Free Goods staff will talk about it with you when they confirm your appointment and see if anything can be done.
Are there any other items your client might need? If you know of something that you will need but did not see it on the list, please make a note of it here. Our Free Goods staff will talk about it with you when they confirm your appointment and see if anything can be done.
When would you like to book your appointment with the Free Goods Program?*
Date Format: MM slash DD slash YYYY
What time on MAY 1ST would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
There are no options available for this field.
What time on MAY 2ND would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on MAY 3RD would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on MAY 4TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on MAY 5TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on MAY 6TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on MAY 7TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
There are no options available for this field.
What time on MAY 8TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on MAY 9TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on MAY 10TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on MAY 11TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on MAY 12TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on MAY 13TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on MAY 14TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on MAY 15TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
There are no options available for this field.
What time on MAY 16TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on MAY 17TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on MAY 18TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on MAY 19TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on MAY 20TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on MAY 21ST would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on MAY 22ND would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
There are no options available for this field.
What time on MAY 23RD would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
There are no options available for this field.
What time on MAY 25TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
There are no options available for this field.
What time on MAY 26TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on MAY 27TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on MAY 28TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on MAY 29TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on MAY 30TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on MAY 31ST would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
There are no options available for this field.
What time on JUNE 1ST would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 2ND would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
There are no options available for this field.
What time on JUNE 3RD would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 4TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 5TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
There are no options available for this field.
What time on JUNE 6TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 7TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 8TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 9TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 10TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 11TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 12TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 13TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 14TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 15TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 16TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 17TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 18TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 19TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 20TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 21ST would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 22ND would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 23RD would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 24TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 25TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 26TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 27TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 28TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 29TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JUNE 30TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 2ND would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 3RD would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 4TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 5TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 6TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 7TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 8TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 9TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 10TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 11TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 12TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 13TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 14TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 15TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 16TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 17TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 18TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 19TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 20TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 21ST would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 22ND would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 23RD would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 24TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 25TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 26TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 27TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 28TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 29TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 30TH would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
What time on JULY 31ST would you like your appointment to be?* If a time slot you were expecting doesn't appear below, it means someone else has booked it and that time is no longer available!
The Free Goods Program now offers a moving service to get all your new items to your new home. For DI clients, this service is included free of charge. Would you like to sign up for the DI Movers?* What is the address you would like to DI Movers to deliver your items to?*
The Free Goods Program now offers a moving service to get all your new items to your new home. This service will cost between $150-$250, depending on how much is requested.. Would you like to sign up for the DI Movers?* The Free Goods Program now offers a moving service to get all your new items to your new home. This service will cost between $150-$250, depending on how much is requested.. Would you like to sign up for the DI Movers?*
Name This field is for validation purposes and should be left unchanged.
