CCHASM Thanksgiving Registration 2025

MA Weeks Thanksgiving Program November 22, 2025

**SUBJECT TO AVAILABILITY** Event Time: 8:00a - 12:00p at Chesterfield County Fairgrounds Exhibition Center 10300 Courthouse Rd, Chesterfield, VA 23832
Meal Package Pick-Up Option * Drive-Thru *

We also this year have a limited delivery option. Please read carefully.

One Meal Bag per Mailing Address/Household (Duplicates will be removed)

1. A valid picture identification (ID) is required. Example: Driver's license, photo identification, passport, etc. ONE MEAL PER HOUSEHOLD/STREET ADDRESS

AND

2. A CCHASM Thanksgiving Meal Package Confirmation Email (printed or displayed on an electronic device such as a smartphone, tablet, computer, etc.).
1. LAST NAME ........................................................FIRST NAME *

LAST NAME EX: SmithFIRST NAME EX: Bob
2. Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
3.City (select one)*
If you live in DINWIDDIE COUNTY, you need to fill out the Dinwiddie form on the website.
4.Please check the box for your city/county confirmation*
5. If you live in Chester or Chesterfield, please indicate what district you live in. If you are not sure, use the Chesterfield County Map below to look up your address.
6. If you are not sure, use the Chesterfield County Map below to look up your address. Click on the Chesterfield County Map, enter address in the search bar, then click on the three books icon, click on the Magisterial district.

Chesterfield County Map
7. Number of Children in your household under 18*
Enter the number of children, if none enter"0"
8. Number of Adults in your household (including yourself).*
Enter the total number of Adults over the age of 18 plus yourself.
9. Email Address (if no email, then leave blank)
example@example.com
10. Telephone Number*
Please enter a valid phone number.
11.There is a limited Meal Delivery Option: Only if:

1. over 65+ or

2. Disabled or

3. No transportation and no one to come and pick up bag for you

Check your address from the following list below using Google Maps to one of these addresses.

Meal Delivery Option. Home-delivered Thanksgiving Meal Package (ONE MEAL BAG PER HOUSEHOLD/STREET ADDRESS) is available (limited availability) for those who reside within a 15-mile radius of either of these locations:

a.Chesterfield County Fairgrounds, 10300 Courthouse Rd, Chesterfield, VA 23832, on Thursday, November 20.

b. VCRC ( Virginia Community Resource Center)22 West Washington Street, Petersburg VA 23803 Thursday November 20.

c. Brightpoint Community College, 13101 US-1, Chester, VA 23831, on Thursday November 20.

D. City Point Restoration Church, 2300 Bluefield St, Hopewell, VA 23860, Thursday November 20.

If you believe you meet at least one (1) of the qualifications (i.e., over age 65 years old, a person with disabilities, lack transportation), choose the delivery option and we will be in touch with you regarding this request.

It is not guaranteed that you will be able to receive delivery, we will reach out and contact you if you qualify.
12. How are you requesting your appointment to pick up the Meal Bag and gift card?*
If you choose delivery, we will contact you by email or phone to see if you meet delivery requirements. Space is limited.
13. If you are requesting delivery, choose all that apply.
14. Appointment time: Saturday November 22, 2025: Chesterfield County Fairgrounds: Choose your time you will pick up your food bag and grocery gift card.
If you are unable to pick up the bag yourself, you can give your ID to a family member to pick up. Make sure they have the confirmation number.
15. In my household, there is an individual over 65 years of age.*

YesNo
16. In my household, there is a veteran.*

YesNo
17. I found this program through_______ (select up to 3)?*

FamilyFriend(s)ChurchCommunityTV/RadioSocial media (Facebook + Instagram @CCHASM_VA, Twitter @CCHASM)
18. My primary language is*

EnglishSpanishOther
19. My annual household income range is*

Less than $25,000$25,000 - $49,000$50,000 - $75,000Over $75,000None
20. Race/Ethnic Background*

Native American/American Indian/IndigenousAsian American/Asian Pacific Islander/HawaiianHispanic/Latino/LatinaBlack/African American/AfricanWhite/Caucasian/European Multi-RacialMulti-ethnic (2 or more races or ethnicities)
21. Check this box (Required)*

I certify that I live within the designated area and meet the income requirements to qualify for this program. I certify that I have submitted a request for one meal bag per household/street address. If I have registered more than one meal bag per household/street address, I understand that I will be provided one meal bag.
22. Check this box (Required)*

I MUST bring a valid picture ID that shows my current address. If my address has changed, I MUST bring BOTH my valid picture ID and a current utility bill with my address.
23. Check this box (Required)*

I realize that if I selected a DELIVERY option, this is not complete until I hear from an associate at CCHASM through email or phone. We will make every effort to contact you.
Should be Empty:

MA Weeks Thanksgiving Program November 22, 2025