Chabad CAREs Produce - Sign Up
Thank you for your interest in the Chabad CAREs Kids Wellness Initiative. This form is for orders for October 1st. Please complete this form NO LATER THAN TUESDAY, Sept. 29th at 12:00 PM.

Lubavitch of Wisconsin, in collaboration with Agudath Israel of IL, is happy to be able to provide kosher food for children (18 and under) across the state without charge. Each Chabad House/Shul will serve as a distribution center for their community.

Please fill out this form to take advantage of this opportunity to receive food box(es) and/or milk for your family. As of now, there will be no additional produce boxes this week. Families without kids under 18 at home will still be eligible to receive milk.

Please fill out ONE ORDER FORM PER HOUSEHOLD PER WEEK.

AS OF NOW - THESE BOXES WILL BE AVAILABLE ON THURSDAY, OCTOBER 1ST.
Email address *
Last Name *
First Name *
Address *
Cellphone Number to Contact You (XXX-XXX-XXXX) *
Which drop-off center/neighborhood route are you closest to? *
How many children in your family? *
How many gallons of milk would you like for your family this week? *
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Lubavitch of Wisconsin.