2018 Saratoga County EOC Thanksgiving Basket Request Form for Families of 2 or More
Email address *
Pickup Information
In order to pickup your Thanksgiving Basket, please come to the Presbyterian New England Church at 24 Circular Street in Saratoga Springs. Pickup dates and times are: Sunday November 18th - 2PM - 7PM, Monday November 19th - 7AM - 5PM and Tuesday November 20th - 9AM - 1PM.
This program is for residents of Saratoga County. Please confirm you are a resident of Saratoga County. *
First name *
Your answer
Last name *
Your answer
Date of birth *
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Gender *
Phone number *
Your answer
Street address *
Your answer
City *
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Zip code *
Your answer
How many people are "in" your household. *
Your answer
Please list each person in your family along with their date of birth. *
Your answer
Is anyone is the house disabled? *
Total yearly household income *
Your answer
Are you currently participating in and EOC Programs? *
Required
We are here to help! EOC provides assistance to families in Saratoga County, helping to connect them to resources to meet their needs, overcome challenges and achieve their goals. Is there a need, goal or question that one of our advocates or program specialists can help you with?
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What do you see as the biggest need in your community?
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All information I have given is correct to the best of my knowledge. I understand that some of the food in my basket may be rescued or donated goods and release the Saratoga County EOC from any claim of harm. Please sign your name below. *
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A copy of your responses will be emailed to the address you provided.
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