Nominate a Cast Member in Need Question Title * 1. I understand Cast Member Pantry services are currently only available for Cast Members who are actively furloughed or have been laid off due to COVID or for Cast Members on an unpaid medical leave. Yes/Sí (for a furloughed CM) Yes/Sí (has laid off from Disney due to COVID) Yes/Sí (CM is on an unpaid medical leave) Question Title * 2. First Name:nombre primero: Question Title * 3. Last Name:nombre apellido: Question Title * 4. Number of people in household:Número de personas en su casa: 1-2 3-4 5-6 6+ Question Title * 5. Any children under the age of three?¿Tiene hijos menores de 3 años? Yes / Sí No Question Title * 6. YOUR (person nominating the CM) Email Address:dirección de correo electrónico: Question Title * 7. Please confirm YOUR Email Address:Por favor confirme su dirección de correo electrónico: Question Title * 8. YOUR (person nominating the CM) Phone Number:número de teléfono: Question Title * 9. All Cast Member Pantry locations (FL, CA, HI) now use a grocery delivery service. Groceries are delivered to your home. What is the address of the CAST MEMBER IN NEED?¿Dónde le gustaría que le entregaran sus comestibles? Street Address:Dirección: City:Ciudad: Zip Code:Código postal: If you live in a gated complex, provide your gate code here. Question Title * 10. Please indicate which type of grocery bag you would like to receive:Indique qué tipo de bolsa de la compra le gustaría recibir: Regular Bag (No special dietary restrictions) / Bolsa regular (sin restricciones dietéticas especiales) Vegan Bag / Bolso vegano Gluten-Free Bag / Bolsa sin gluten I have other dietary restrictions. Note: Please email us directly after completing this form with any special dietary needs not indicated here. We will not be able to accommodate preferences. Tengo otras restricciones dietéticas. Nota: Envíenos un correo electrónico directamente después de completar este formulario con cualquier necesidad dietética especial que no se indique aquí. No podremos adaptarnos a las preferencias. Question Title * 11. Deliveries can occur 7 days a week. Please indicate your preferred days and times to receive your groceries. Note: We ask that you are available for the Instacart driver to call/reach out to during delivery. Provide a time that you know the CAST MEMBER IN NEED will be home to receive the groceries. Las entregas pueden realizarse los 7 días de la semana. Indique sus días y horarios preferidos para recibir sus comestibles. 8 AM to 12 PM 12 PM - 5 PM 5 PM - 10 PM Monday / lunes Monday / lunes 8 AM to 12 PM Monday / lunes 12 PM - 5 PM Monday / lunes 5 PM - 10 PM Tuesday / martes Tuesday / martes 8 AM to 12 PM Tuesday / martes 12 PM - 5 PM Tuesday / martes 5 PM - 10 PM Wednesday / miércoles Wednesday / miércoles 8 AM to 12 PM Wednesday / miércoles 12 PM - 5 PM Wednesday / miércoles 5 PM - 10 PM Thursday / jueves Thursday / jueves 8 AM to 12 PM Thursday / jueves 12 PM - 5 PM Thursday / jueves 5 PM - 10 PM Friday / viernes Friday / viernes 8 AM to 12 PM Friday / viernes 12 PM - 5 PM Friday / viernes 5 PM - 10 PM Saturday / sábado Saturday / sábado 8 AM to 12 PM Saturday / sábado 12 PM - 5 PM Saturday / sábado 5 PM - 10 PM Sunday / domingo Sunday / domingo 8 AM to 12 PM Sunday / domingo 12 PM - 5 PM Sunday / domingo 5 PM - 10 PM Done
