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Food Box Giveaway- City of Antioch Only

Limited quantity (If family is in need, please look into our Antioch Concrete support)

The Child Abuse Prevention Council (CAPC)'s food boxes are currently available for pick up at CFS in Antioch. Families must live in Antioch and have at least one child(under the age of 18) living with them.

To request a Food Box pick up for the family you are supporting, please complete this google form and submit it. The form must be completed by a service provider (not a family member), but families can pick up the food. All Food Boxes must be signed up at the time of pick up.

Please choose the location in the last question. The food pick up includes enough food for a family of four for about 3 weeks. Please ask the family to arrive with extra space in a vehicle and someone who is able to help load the car.

For questions or more information, please email ccarrillo@capc-coco.org.

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Service Provider Name *
Requesting Agency *
Service Provider Email *
Service Provider Phone
Total Number of Children in Household *
Primary Child's Name *
Parent/ Guardian's Name *
Family address (Full address please include city and zip) *
Primary Language Spoken in the Home *
Statement of family Needs/Situation  *
Does the family have a history of mental abuse?
Clear selection
Does the family have a history of substance abuse?
Clear selection
Have any children in the household been involved with Juvenile Justice Probation Services?
Clear selection
Location to pick up food box 
(Email sstanwood@capc-coco.org to schedule a pick up time)
 *
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