The Beauty of Life Meal Service Questionnaire
Please be specific about your needs so that we may serve you as best we can!
We deliver each meal in a reusable plastic container.

Our mission statement guides our service:
“We promise to support local families and mothers in need with healthy meals during and after pregnancy. We seek to emphasize the value of life: both that of the child and the mother.”
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Email *
Full name *
This is not shared with any volunteers and is used for administrative purposes only.
Phone number *
We use both text and email to communicate with our clients. *
Home address for deliveries Sundays between 3pm and 6pm *
As a completely volunteer-run organization, we are not able to change delivery locations week to week. If you are not home on a given Sunday afternoon, or you have a permanent location change, please email us.
Number of months for weekly meal service subscription *
Required
How many adults are in your household? *
How many children are in your household? *
Please note: It is our mission to serve families/caretakers with children. If you indicate a number of children here without specifying children's ages later, we will be unable to serve you. If you are pregnant, please choose the first option (1) for this question, and choose "expecting" for the next question.
Children under 5
Children ages 5-8
Children ages 8-12
Children ages 12-17
Please provide your food allergies and severity. This is not a place to indicate food preferences. You may share food preferences in the last answer box if you wish. *
Where did you hear about our program?
Is there anything else we should know before preparing and delivering your first meal? For example: about finding your home, pets to watch for, etc.
Holiday Policy
As a completely volunteer-run organization, we have some dates on which we are regrettably unable to serve our clients. By listing these dates here, we hope to keep you informed about holidays that affect our cooking availability.

The week before any of these days, you will receive TWO meals and no meal on that Sunday.

Easter Sunday
Sunday that falls on the 4th of July
Sunday of Labor Day weekend (first Sunday of September)
Sundays that fall between the 20th of December and the 2nd of January
Thank you!
Expect a confirmation email within 5 days of submitting this form.
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