Personal Needs Program and Baby Program at Cristo Rey Community Center
RULES STILL APPLY:
-Only *ONE* pickup per month
-Must show I.D. at pick up

Please pick a date/time to pickup order, as well as the items that you are looking for. When arrived, please tell the receptionist who you are and what you are here for. We will bring you your items shortly after to the front door area. You will not be able to come further inside the building.

You must ONLY come at your scheduled date/time. If you will be late or need to reschedule, please call ahead of time. If not, items may not be available.

Please call: 517-253-8249 if you have any questions and/or concerns.
Name (First and Last) *
Your answer
# In Household *
Your answer
# Adults: *
Your answer
# Children: *
Your answer
Working phone number: *
Your answer
Pickup - Day and Time *
Required
Items *
Required
Has any of your information (i.e. address, phone number, # of people in household, etc.) changed since you last used this service? If yes, please explain below. *
Your answer
HEAD OF HOUSEHOLD: Name, Date of Birth, Address, Race, Gender, Number in Household, Number of Adults in Household, Number of Children in Household *
Your answer
Each person in household's information: Name (first and last), Date of Birth, Race, and Gender *
Your answer
Submit
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