Easter Meal - 2023
Please complete the form below to receive a free Easter Meal.
Name
*
First Name
Last Name
Mobile Phone Number
*
Please enter a valid mobile phone number.
Would you like a Meal Bag that includes everything needed to prepare an Easter meal for a family or a single serve meal that you will reheat with a microwave.
*
I would like the Easter Meal Bag of Food.
I would like the Single Serve Meal(s).
How many Single Serve Meal(s) would you like to pick up?
*
Please Select
1
2
3
4
5
6
7
8
9
How Many Children are in your Household?
*
Please Select
I do not have any children living with me
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8
Will you be staying for the free breakfast when picking up the Easter Meal?
*
Yes
No
We have three times when you can join us for breakfast. Which time would you like?
*
8:00 a.m.
8:30 a.m.
9:00 a.m.
How many will be joining us for breakfast (include yourself in the number)?
*
1
2
3
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5
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8
If you are not joining us for breakfast, meals can be picked up at Otterbein Church, 912 South Potomac Street, Waynesboro, any time between 8:00 a.m. & 11:00 a.m. on Friday, April 7.
Questions or Additional Information You Would Like To Share With Us?
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