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2020 Emergency Food Distribution
In order to track emergency efforts family size and food distribution will be reported to the Akron Canton Regional Food Bank - your personal information will NOT be shared. Paper copies can be filled out at pick up. Priority will be given to families on free/reduced lunch, FISH families, senior citizens, and those who have lost their income due to quarantine closings. First, come basis, no special requests are available at this time.
Group Association: *
Required
Family Size *
# in household age 0-17 *
Your answer
# in household age 18-59 *
Your answer
# in household age 60+ *
Your answer
Head of Household first name *
Your answer
Head of Household last name *
Your answer
Household address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone *
Your answer
additional phone number in case we can't get you *
Your answer
Email
Your answer
Need Delivery *
I am picking up /requesting delivery on this day *
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