YPI Pantry Access
Thank you for submitting our Pantry Access Form for a premade bag of food and toiletries.

Each bag of pantry supplies will come stocked with at least one type of grain (pasta, rice, etc.), two canned vegetables, one canned beans, two canned soups, and a few miscellaneous nonperishable food items. You can select toiletries below.

Appointments to pick up pantry items can be made from 12:30-2:30pm Mondays, 3:45-5:15pm Wednesdays, 3-4pm Thursday, or 11:30-1:00pm Fridays.

In this form, we will ask about any Allergies/ Dietary Restrictions you have.

When picking up goods we ask:
- Come alone or limit the size of your party.
- Please respect Individuals capacity of intimacy (The CDC recommends that all people stay at least 6 feet away from one another)
- Please arrive promptly and leave promptly to lower the risk of running into another appointment

For everyone's safety, the Drop-In Center will remained closed until further notice. Access to the space will remain limited.
What is your first and last name? Make sure to use the same name as person who set the appointment. *
What is your email address? *
What is your phone number?
What is the best way to contact you (phone number, email, facebook messenger, etc.)? Please provide any links or information so we can confirm your appointment with you. *
Are you 23 or younger? *
When are you available to come in and pick up your pantry items? *
We are open on Tuesdays and Wednesdays from 12:30-5:pm. If you cannot make it during these times, we might be able to arrange a different day and time.
Dietary Eating Restrictions? (select all that apply) *
Please select any toiletries you are currently in need of:
We will do our best to provide these individual needs, however in some cases our stocks are limited. At this time unfortunately we cannot provide cleaning supplies or products. If you do not see something you need, please fill in "other" and we will try to accommodate your need.
Please select any clothing items you are currently in need of:
While we cannot let you try on the clothes in our space, you are more than welcome to bring them back/exchange them the next time you pick up a bag if something does not fit. All returned clothes will be seperated in an isolated area for a week and then returned to the pantry.
Please specify sizes and any specifics you think are important to know when selecting your clothing request.
We will create a bag of pantry items for you based on the information you provided and hand them to you at the YPI staff door (double doors to the right of the store October). When you pick up, please ring the doorbell and take a step back so staff may remain 6 feet away from you. THANK YOU!
Never submit passwords through Google Forms.
This form was created inside of Youth Pride Inc.. Report Abuse