Who is the head of the household that will pick up the food?
County: Feeding Hands serves residents in these local areas.*
Are you receiving any of the following governmental assistance? Check all that apply.
Was your family income reduced because of COVID-19?*
Are you having difficulty affording your housing or other basic needs?*
Contact Information:*
Either an email or phone number is required to get your appointment. If you do not have a phone, please provide the number of someone who can get messages for you.
Is this a cell phone number?*
Do you want to receive your client number and appointment time via email or text?*
Select a timeframe/location for your appointment?*
Conditions to Receive Assistance*
As conditions for receiving assistance, I acknowledge, consent to, and certify the following: (Check all to acknowledge your agreement.)
Client Signature:*
By typing your full name, you acknowledge, consent, and certify to the above information.
Next Steps:
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If you provided an email address, you will immediately receive an email confirmation from hello@feedinghandspantry.org. Please check your Junk Email folder if you do not see the message in your Inbox.
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Within the next few days, you will receive a client number (required at your first appointment) and appointment day and time via email or text. You can receive food once a month by appointment.
Please bring the following to your appointments:
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Client card (you will receive this on your first visit)
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Photo ID
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Proof of address (electric bill, phone bill, or other document with your name and physical address)