2019 Camp Cadiz Food Ministry Form
Prior to submitting, please make sure the recipient is aware & will be home between the hours of 10:30am -12:00 pm June 24-27th
* Required
Recipient Name:
*
Your answer
Recipient's Phone Number
*
Your answer
Recipient's Address (if the address is not easily visible from the road, please give directional information)
*
Your answer
How many are in the household
*
Choose
1
2
3
4
5
6
7
8
Food Allergies or Dietary Restrictions
*
Your answer
Does the recipient have:
*
refrigerator/freezer
stove
microwave
Required
Please indicate below if there is a day the recipient will NOT need a meal.
*
Monday
Tuesday
Wednesday
Thursday
will need a meal/meals every day
Required
Person responsible for submission, phone and relation.
*
Your answer
Submit
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