ReFRESH Grocery Distribution List
If you would like to added to our grocery distribution notification list, please fill out the form below.

Groceries are available to be picked up at the CCF Office in Loma Linda through a contact-less drive up/pick up option where we load into your trunk.

*Groceries are available bi-weekly on Fridays. Grocery options vary every time.
Patient's Name *
Patient's Last Name *
Parent / Contact Name *
Phone Number *
Please provide a mobile number that can receive text messages
Text Notifications *
You will receive distribution notification via text to the number provided. Msg & data rates may apply.
Required
I understand that in providing my information, I will be added to the ReFRESH Grocery Distribution List and I can opt out of the program at any time and agree to notify CCFSC when I no longer want to be part of this program. *
Required
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