Are you hoping to use the Free Goods Program?* What is your name?*
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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 brought you to the Free Goods Program?* 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. However, if you are looking for a computer through our CLIC (Computers for Low-Income Calgarians) program, please continue below.
What is your name?*
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Last
What is the name of the client you are applying for?*
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Last
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 email address?*
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 client's address?*
Who is your case manager at the DI?*
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
What is their phone number?*
How did you hear about us?*
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 your household?*
How many children are living or will be living in your household?*
If applicable, how many children are living with you?
If applicable, how many children are living with you?
If applicable, how many children are living with your client?
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 SEPTEMBER 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 OCTOBER 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 OCTOBER 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 OCTOBER 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 OCTOBER 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 OCTOBER 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 OCTOBER 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 OCTOBER 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 OCTOBER 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 OCTOBER 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 OCTOBER 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 OCTOBER 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 OCTOBER 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 OCTOBER 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 OCTOBER 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 OCTOBER 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 OCTOBER 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 OCTOBER 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 OCTOBER 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!
There are no options available for this field.
What time on OCTOBER 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 OCTOBER 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!
There are no options available for this field.
What time on OCTOBER 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 OCTOBER 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 OCTOBER 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!
There are no options available for this field.
What time on OCTOBER 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 OCTOBER 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!
There are no options available for this field.
What time on OCTOBER 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!
There are no options available for this field.
What time on OCTOBER 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!
There are no options available for this field.
What time on OCTOBER 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!
There are no options available for this field.
What time on OCTOBER 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!
There are no options available for this field.
What time on OCTOBER 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 NOVEMBER 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 NOVEMBER 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 NOVEMBER 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!
There are no options available for this field.
What time on NOVEMBER 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!
There are no options available for this field.
What time on NOVEMBER 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 NOVEMBER 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 NOVEMBER 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 NOVEMBER 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!
There are no options available for this field.
What time on NOVEMBER 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!
There are no options available for this field.
What time on NOVEMBER 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 NOVEMBER 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!
There are no options available for this field.
What time on NOVEMBER 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!
There are no options available for this field.
What time on NOVEMBER 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 NOVEMBER 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 NOVEMBER 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 NOVEMBER 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 NOVEMBER 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!
There are no options available for this field.
What time on NOVEMBER 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 NOVEMBER 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!
There are no options available for this field.
What time on NOVEMBER 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!
There are no options available for this field.
What time on NOVEMBER 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 NOVEMBER 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 NOVEMBER 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 NOVEMBER 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 NOVEMBER 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 NOVEMBER 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 NOVEMBER 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 NOVEMBER 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 NOVEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 DECEMBER 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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 JANUARY 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?* 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?*
Email This field is for validation purposes and should be left unchanged.
