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2022 Bulldog Boxes Pilot Program - Registration Form
Thank you for your interest in our pilot program, as we explore our ability to support a full year box program. We have a new relationship with the Akron-Canton Regional Foodbank and require additional information from our traditional summer program. This information will be entered into the Foodbank's system of record. For eligibility, please check this form:
https://mofc.org/wp-content/uploads/2021/08/JFS-04221-ENG-Rev.-7.2021.pdf
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Registrant's First Name
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Your answer
Registrant's Last Name
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Your answer
Please provide your street address:
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Your answer
City of residence
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Your answer
Zip code
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Your answer
Please provide your phone number
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Your answer
Would you like to receive pick-up reminder texts at this number?
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Yes
No
Please provide your email address
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Your answer
Number of members in your household (adults and children)
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Your answer
Number of children in your household
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Your answer
In this program, we provide one box per family, per month. Our pickup window will be Friday evening only, from 3:30 - 6:30 pm, at First Christian Church in Stow. Please register for all dates that you would like a Bulldog Box:
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January 28, 2022
February 25, 2022
March 25, 2022
April 29, 2022
May 27, 2022
Required
Do you need your box delivered?
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Yes
No
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