Request edit access
2025 FYP Accessibility Form
On Sunday, November 9th we are opening Fill Your Pantry early for an Accessible Pick-Up Period from 11am to 12pm. The main event will be from 12pm to 4pm with live music beginning at 12pm and other customers beginning to trickle in at that time as well.

The Accessible Pick-Up Period is for our elders, customers with disabilities, immunocompromised folks, or anyone who could benefit from assistance aggregating their orders and a less stimulating shopping experience. If this sounds like you, please take a moment to fill out the form below so that we can help make your FYP shopping experience a smooth one. 

Note: We will use the answers below to match your response to your FYP pre-order so that our team can be prepared to assist you. Please make sure that you're answering the questions using the information provided on your FYP pre-order.

Check-in with staff or volunteers at the Information Booth when you arrive at FYP and our masked volunteers will assist you with your pre-order. If you are picking up items from vendors yourself, please be aware that not all vendors will be masked.
Sign in to Google to save your progress. Learn more
Email *
Your Name *
Email
*
Phone Number
*
Do you plan on picking up your order during the Accessible Shopping Period from 11am to 12pm on Sunday, November 9th at the Lane Agricultural Pavilion?
Clear selection
Would you like us to aggregate your pre-order and have it waiting for you at the Information Booth?
Clear selection
Would you like assistance loading your pre-order into your vehicle?
Clear selection
Do you plan on doing any day-of shopping using an EBT card? 
We ask because it takes a bit longer to check out day-of sales for EBT customers and we want to be prepared for how many folks will need that extra time. This extra time factor does not apply to pre-orders.
Clear selection
Would you like to request free home delivery?

Available for low-income shoppers with transportation barriers. 

Please place an order online for "in person shopping" and we will update to a delivery status once your request is approved.
Is there anything else that you'd like us to know?
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Willamette Farm and Food Coalition.

Does this form look suspicious? Report