JFK FSCS Monthly Food Registration Form

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Hello JFK Families! We hope you are well. In partnership with St. Paul CDC, the JFK FSCS is doing a monthly food distribution. If you are interested in receiving a monthly food bag (from February - June 2021), please register here.

Supplies are limited and you may be put on a waitlist. The JFK FSCS Staff will call you to inform you of the status of your application, and the time and date of pick-up.

Any questions, please contact Ms. Sweeney at sweeneyn@paterson.k12.nj.us or Ms. Alam at malam@njcdc.org.

Thank you!

Email *

First & Last Name *

Cell Phone Number *

Are you the person picking up your food bag? *

Yes

Required

If you are unable to pick up your food bag, please list the name and number of the person that will pick it up for you.

# of adults in your household *

# of children in your household *

A copy of your responses will be emailed to the address you provided.

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