New Pantry Food Order PLEASE SELECT FOOD ITEMS THEN CONTINUE TO THE LAST QUESTION TO SCHEDULE YOUR FOOD PICK UP. Question Title * Please provide the following information Full Name Date Of Birth Address Phone Number Email Address School District: Question Title * Please tell us how many people in your household are registered with our agency? Question Title * Please tell us how many are registered in your household? Children Ages 0-17 Adults Ages 18-59 - Seniors Over Age 59 - Question Title * Please choose 2-3 meats Taco Meat Chicken Quarters 3 lb Ham Shaved Rib Eye Ground Bison Ground Beef Ground Turkey Cooked Turkey Breast Hot Dogs (Meat) Hot Dogs(Beef) Shredded Pork Pork Loin Ham Steak Stuffed Chicken Breast Chicken Strips (fajita style) Pork Chops (Not available until 9/29) Fish Fillets Question Title * Please choose 1-2 freezer items Asparagus Blueberries Roasted Potatoes Snap Peas Stir Fry Vegetables Cauliflower Other (please specify) Question Title * Please choose your dairy items Fresh Milk Eggs Butter Cheddar Burger Cheese(Block) Swiss Cheese(Block) Shelf Stable Milk Other (please specify) Question Title * Please choose 1-2 types of canned soups Chicken Noodle Chicken Rice Tomato Vegetable Beef Chicken Tortilla Soup Potato Soup Other (please specify) Question Title * Please choose your dry items Spaghetti Noodles White Rice Spanish Rice Instant Potatoes Tuna Helper Lasagna Helper Beef Hamburger Helper Macaroni & Cheese Scalloped Potatoes Misc Flavored Rice or Noodles Taco Shells Brown Rice Au gratin potatoes Linguine noodles Other (please specify) Question Title * Please choose 1-2 types of canned vegetables Corn Green Beans Peas Other (please specify) Question Title * Please choose 1-2 canned meats Beef Pork Chicken Tuna Salmon ( not available until 9/28 Other (please specify) Question Title * Please choose your miscellaneous items Peanut Butter Jelly Spaghetti Sauce Diced Tomatoes Pizza Sauce Pancake Mix Syrup Chef Boyardee Other (please specify) Question Title * Please choose your cereal Healthier Cereal Sugary Cereal Kid’s Cereal Oatmeal Other (please specify) Question Title * Please choose 1-2 drinks Decaf Ground Coffee Caffeinated Ground Coffee Orange Juice V8 Passion Fruit V8 Berry Apple Juice Muscle Milk Chocolate Milk Diet Orange Soda Sparkling Water Flavored Propel Water Grapefruit Juice Flavored Iced Tea Other (please specify) Question Title * Please choose your healthy snacks Walnuts Raisins Mixed Nuts Sunflower Seeds Other (please specify) Question Title * Please choose 1-2 types of canned fruits Mandarin Oranges Fruit Cocktail Applesauce Pears Mixed Fruit Other (please specify) Question Title * Do you or anyone in your household have any special dietary needs? If so, please explain Question Title * Are there any items that you do not want to receive from us? Are there any items not listed but you are in need of?Please list below Question Title * PLEASE NOTE***All selected food items are based on availability.Our building and pantry are exposed to nuts through various food products that we carry. Requests for baby items such as diapers, wipes, and baby food, these requests will not be granted. To receive any of the above listed baby items, you must register for our Baby Club and a copy of your child’s birth certificate/legal guardianship must be sent to helping@commreach.org We must receive a copy of those documents before your registration for our Baby Club is accepted. We appreciate you letting us serve you. *** Important Program Information ***If you are interested in your child (only for ages 0-12 )participating in our holiday stocking program, you must register your child by October 15th, 2021 through our website. Question Title * Are you interested in any of the following adult education classes? Please select all that apply. GED/High School Diploma/ Hi Test Learning English(second language) Parenting Courses(Online) Anger Management Courses(Online) Family Dynamics Courses(Online) Cooking Classes Using Pantry Food For Ingredients None of the above Question Title * To schedule your pantry food pick up please click on the link below to get to our appointment scheduler.https://fqnyvhjqrihemjcotl.10to8.com Done
