Southern Bluffs Food Pantry Sign up

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The food pantry at Southern Bluffs is available to all families. We ask that families sign up ahead of time through this google form. (Paper forms available if needed). Families only need to sign up one time for the whole year. Families can choose to pick up food from Southern Bluffs or have food delivered to their homes by Southern Bluffs staff.

The dates are typically the 4th Tuesday of the month (except Dec). Pick up will be at Southern Bluffs main doors between 3:30pm-4pm. If a family chooses delivery, deliveries are typically made between 4pm-5pm.

September 28 February 22
October 26 March 22
November 23 April 26
December 21 (3rd Tuesday) May 24
January 25

Do you get food resources from other places (WAFER, Foodshare, Place of Grace, other food pantries, etc)? This info helps Mrs. Lueck connect you to additional resources if needed.

Yes

Parent/Guardian Name: *

Phone number *

Email (if available)

Best way to contact you (you can check more than one box) *

Phone call

Text message

Note sent home

Required

Food will be available outside the main doors between 3:30pm-4:30pm. Or food can be delivered between 4pm-4:45pm. *

I will pick up from school between 3:30pm-4:30

I would like delivery. Deliveries will be made between 3:45pm-5pm. Staff will call you prior to leaving the school.

Required

If delivery, please list your address and any special directions if you are not home.

Do you have any questionsabout the monthly food pantry program.

I would like the school counselor to reach out to me about other community resources (food resources, housing, clothing, housing, healthcare, etc)

Yes

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