Pre-registration for Fruit and Vegetable Box
This form is for those interested in preregistering for a fruit and vegetable box made possible by the Charles County Department of Health.

Due to the limited amount of boxes available, boxes are limited to one per family.
What date and location are you preregistering for?
Clear selection
Do you currently receive any of the following programs;
Will this event increase your access to fresh fruits and vegetables?
Clear selection
Would you have purchased these items even if you were not given them for free?
Clear selection
Are you confident that you can use all of these items to feed your family?
Clear selection
Email Address
Phone number
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