CANAPI Fresh Foods Pantry Registration

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* 1. CANAPI cares about providing a quality service for our community. When people sign up to attend our pantry and do not show up it hurts them and our ability fund this event.
By checking this box you acknowledge that if you no show 3 times, you will be unable to attend our pantry for the remainder of the year.

Yes

No

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* 2. Will you be attending our organic food pantry on July 25th, 2024?

Yes

No

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* 3. How many people, including yourself, make up your household?

1

2

3+

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* 4. Please complete your contact information

Name

Email Address

Phone Number

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* 5. Have you been to our organic food pantry before?

Yes

No

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* 6. Please let us know the order of your preferred choice of proteins.

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* 7. If you have special preferences for food items, please list below and we will do our best to find them when possible.

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* 8. Tell us about any food allergies in your household.

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* 9. Are there any foods that you do not want/will not eat?

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* 10. Please choose a timeframe to pick up your food.

10:30 a.m. to 11:00 a.m.

11:00 a.m. to 11:30 a.m.

11:30 a.m. to 12:00 p.m.

12:00 p.m. to 12:30 p.m.

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* 11. Would you like a phone reminder for your time of pickup?

Yes

No