Curbside Meal Box Delivery Application
1. For current clients only. If you are not a client, you may call our office to register as a client.
2. Food will be delivered every other week.
3. Filling out the application is not a guarantee of delivery.
4. There is currently a wait list.
5. You must demonstrate a significant need for delivery. This can include being 65 or older or having a compromised immune system or disability that prevents you from going to our drive-through distribution.You must lack access to transportation and have no proxy (someone to pick up on your behalf).

The current best option is to have a proxy assigned to your account; someone who can pick up on your behalf. Call our office to register a proxy at (512) 392-8300.
First Name *
Last Name *
Date of Birth *
Phone number *
Street Address *
City *
How many in household ages 0-17? *
How many in household ages 18-64? *
How many in household ages 65+? *
Do you currently receive benefits from any of the following? Check all that apply. *
Monthly Household Income *
Please explain why you need your food delivered and why you are unable to pick up from other distributions. *
How did you hear about this application?
Are you currently a Hays County Food Bank client? *
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