Saukville Community Food Pantry Registration Form
Welcome to the SCFP! Eligible Ozaukee County residents may use the food pantry ONCE PER MONTH.

To register for services, you must provide:

1. Proof of residency in Ozaukee County (state ID card or utility bill). (Bring along your first time!)
2. Names and birth dates of all household members. (Enter below!)
3. Estimated monthly income. (Enter below!)
4. Other demographic information, which will be kept strictly confidential. (Enter below!)

That's it! WELCOME! We look forward to serving you.
Email *
First Name *
Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Street Address *
City *
State *
Zip Code *
Phone Number *
How did you hear about us? *
Best way to contact you? *
Estimated Monthly Income *
Ethnicity *
Are You Currently Employed? *
Are You or is Anyone in Your Household a Veteran? *
Do you have other household members? *
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