Central Utah Food Pantry Online Orders - Info and Notifications
Earth Community Garden & Food Pantry is an equal opportunity provider. We provide food with no regard to; class, race, color, national origin, religion, sex, age, disability, gender identity, immigration status, or social/political ideology. *
Required
First Name *
Your answer
Last Name *
Your answer
Street address of "household" *
Your answer
Food Recipient's method of contact for Food Drops? *
Phone number *
Your answer
I agree to the liability waiver and hold harmless Earth Community Garden & Food Pantry, as well as food suppliers, for any tainted food. *
Required
I agree to NOT SELL ANY FOOD RECEIVED *
Required
I agree to NOT smoke/vape anywhere on the property *
Required
I agree to NOT take more food than what is needed for one (1) week *
Required
TOTAL Number of people in your household *
Choose
1
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9
0-17: Number of people in your household ages 0-17 *
Choose
0
1
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9
18-64: Number of people in your household ages 18-64 *
Choose
0
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9
65+: Number of people in your household ages 65 + (and older) *
Choose
0
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9
Veterans - Number of people in your household who are veterans, active military, or humanitarian activists (branch/organization) *
PICK-UP & Proxies - The food order will be picked up by the following (proxies must either provide ID or verification); *
**OPTIONAL** VOLUNTEERING - I would also like to volunteer with Earth Community Garden & Food Pantry in the following area(s); TEXT "HELP" to 801-788-4171