WiHi Food Pantry Sign-Up Form
Please fill out the information below and we will prepare a bag for your family to be picked up on Friday.
Student's Full Name *
Your answer
Total number of people in family (self included) *
Your answer
Phone Number *
In the event of any food recalls, we need a contact number for the family.
Your answer
Does your family have any special needs, allergies or dietary restrictions?
Your answer
Special Item Requests
Please check any additional items needed. These are subject to availability and we may not have all items at all times.
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