Food Pantry Distribution Request Form

Food Pantry Distribution Request Form

Please complete the form below to request assistance from the Worship with Wonders Church Food Pantry. REQUESTS RECEIVED with less than 48 hours notice may not be fulfilled. Please submit your request in a timely manner.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Size of household
Number of family members over 65
Number of children
Ages of children
Zip Code

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you a member of Worship with Wonders Church?
How did you hear about our services?
Our food pantry is open at the times below and by request only. Please submit a request at least 48 hours prior to your selected pick-up time. Do not make plans to arrive UNTIL YOU RECEIVE AN EMAIL confirming your exact pick up date and time.

MONDAY 11:00AM - 2:00PM; WEDNESDAY 6:00PM - 7:30PM; SATURDAY 12:00PM - 2:00PM, 6:30PM - 8:00PM
What day would you like to pick up your food package?
An email will be sent confirming receipt of your request and your confirmed pick up time. Please allow up to 48 hours for a response. Your pick up is not confirmed until you receive a response.
Please note: In an effort to adequately support and supply our community with resources, households can request assistance ONCE (1x) every 30 days. Additional requests received before the 30 days will be evaluated based on need pantry supply availabilty.
Please include any additional information our team will need to know.
Should be Empty:

Food Pantry Distribution Request Form

Our food pantry is open at the times below and by request only. Please submit a request at least 48 hours prior to your selected pick-up time. Do not make plans to arrive UNTIL YOU RECEIVE AN EMAIL confirming your exact pick up date and time.