Food Pantry Interest Form
If you are a Spencer/Midwest City resident who is in need of food, we would like to help you!  Our food pantry will be open on May 10 to hand out food boxes to those in need.  Please register below to let us know you are interested.  If we can accommodate you, a confirmation email will be sent to the email address you provide below.  Due to limited resources, NO WALK-UPS WILL BE ACCEPTED.  A photo ID and proof of residency (e.g. a utility bill) will be required in order to receive a food box.

REGISTRATION WILL CLOSE AT NOON THE DAY BEFORE THE PANTRY OPENS.
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***ACCESS TO THE FOOD PANTRY IS LIMITED TO ONCE EVERY 60 DAYS.***
NAME *
Your First and Last Name:
EMAIL *
Your Email Address:
PHONE *
Please enter your ten-digit phone number with NUMBERS ONLY (i.e. no spaces, parenthesis, or dashes).
CHILDREN *
How many children (18 years and younger) live in your household?
RESIDENCE *
Do you live in Spencer or Midwest City, Oklahoma?
SNAP *
Are you currently a SNAP recipient?
EMPLOYMENT *
What is your current employment status?
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