Feed Kohala Family Food Boxes
**Please Note: Registration for this program is full. If you are still interested, please register and you will be placed on a waitlist. We will contact you if space becomes available. Thank you for understanding.**

Feed Kohala is launching a program to distribute food boxes to families. This is a continuation of community food assistance that has been taking place in response to COVID-19 in partnership with numerous organizations.

This program is open for 300 families to each receive a food box every other week (2x per month) from mid September through the end of December 2020. The food boxes will be a combination of local produce and proteins sourced from our island producers with meal suggestions included.

This form is a one time registration for the duration of the program. If you would like to opt out at anytime please contact us. This information we are requesting will remain confidential and is needed for reporting purposes as required by County of Hawaii as well as to best coordinate our efforts.


šŸ›‘ We'll notify you via email and/or text to confirm your BOX pick-up and pick-up TIME.


šŸ“¦ Pick-up will be Friday afternoons at Overflow Church (formerly Solid Rock North)
55-595 Hawi Rd, Hawi, 96719
If you need additional accommodation please contact us.

Contact:
Feed.Kohala@gmail.com
808-937-9439

Funding for this program has been awarded by the the County of Hawaii Cares Funding through fiscal sponsorship of North Kohala Community Resource Center. The purpose of the Feed Kohala initiative is to provide food assistance to the kupuna and families of North Kohala while directly supporting local agriculture production.

**Please Note: Registration for this program is full. If you are still interested, please register and you will be placed on a waitlist. We will contact you if space becomes available. Thank you for understanding.**
Email address *
First Name *
Last Name *
Phone Number *
Enter your number like this, with no spaces: 8085556789 (text message). We will contact you with confirmation
Neighborhood and zip code *
Neighborhood example; Kahei, Kynnersly, Ainakea, Halaula
How many individuals in your household age 65 and older *
How many individuals in your household between ages 18 to 65 *
How many individuals in your household between ages 5 to 17 *
How many individuals in your household under age 5 *
How many total individuals in your household *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy