Leeds (and surrounding areas) Covid-19 support
This form is to place an order for a supply of food and essential items within the Leeds postcodes.

A collaboration of 4 Wakefield based organisations:
The Real Junk Food Project
Wakefield Elim Community Church
Wakefield Street Kitchen
Bear Kitchen

We're also collaborating with Santiago Bar, LS-Ten Project in Leeds and others to create catering packs, and NSH drop off points.

All have come together to offer weekly parcels via our organisations.

We also have a Go Fund Me page for those whom wish to donate to support our cause:

https://www.gofundme.com/f/wakefield-and-surrounding-areas-covid19-support
Email address *
Your answer
Are you self-isolating *
Do you have any symptoms of Covid-19? *
Full name *
Your answer
Contact phone number *
Your answer
Is this pack for yourself and your family, or on behalf of someone else? *
Full address (do not include postcode) *
Your answer
Postcode *
Your answer
How many members of your household? *
How many of those members are children? *
Do any babies reside in the household? *
If so, what size nappies doe they need? (we cannot guarantee this, but will try our best) *
Your answer
Do you have any dietary requirements? *
Required
Do you have any allergies? *
Required
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