Pewaukee Food Pantry Client Intake Form
Before clients can receive assistance from the food pantry, they must complete this form. Then, on your first visit to the food pantry, please bring a copy of a utility bill, a lease or something that proves that you live in the City or Village of Pewaukee.
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Email *
Name *
Address *
Phone *
Number of adults in household *
Number of children in household *
Gender and birthdate for each child *
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