Two Rivers Pantry
Please fill out the form below to receive assistance from Two Rivers High School's Pantry.
We respect your privacy and will not share your personal, individual information with anyone outside of those operating the pantry.
Please understand that there is no limit to our pantry and you can receive assistance as many times as you need. We are here to help you and your family.
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Email *
Phone Number: *
(Type "N/A" if you wish to not be contacted via text.)
Student's name: (First and Last) *
Number of people in household:
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What are you in need of?
Please understand that we may not have every item requested in stock. We will make every effort to provide you with suitable alternatives.
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FOOD:
Check all that apply
If you would like to have your groceries packed and ready to pick up, please let us know what you want or need.
HYGIENE:
Check all that apply
OTHER:
Check all that apply
How would you like to receive your food/supplies?
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I understand that this form is good for a one time pick up only and if I need further assistance, I will need to fill out this form again.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Weber School District.