2025 Food Pantry Pick-Up Request Form (Existing Client)

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Are You an Existing Client?Choose YES if you have have been to the Table of Hope Food Pantry before. Choose NO if you have never been to the Table of Hope Food Pantry.
YESNO
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For best results use the Google Chrome Web Browser when completing this form.At this time masks are now optional for those who are fully vaccinated. Based on CDC Guidelines, we strongly recommend that those who have not been vaccinated wear masks. We believe that the privacy of individuals is important. Table of Hope food pantry does not collect or retain address or location information as part of this application.
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Is this your first time using our online form?* This field is required.Choose NO to skip instructions on how our drive-thru service works
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How It Works

1. Complete and submit this form. You must complete this order form each time you come back.

2. Each week we review these forms and create a schedule. We will ONLY call you back if there is an issue.

3. On your scheduled pick-up day/time come to the food pantry pick up at 1650 N Fairview traveling East on 16th street from 16th and Fairview. YOU MUST ARRIVE WITHIN 10 MINUTES OF YOUR SCHEDULED TIME. WE CLOSE PROMPTLY at 1:30PM. If you arrive early you will be asked to come back at your scheduled time. If you are late you will be asked to reschedule.

3. Stay in your vehicle. Our volunteers will load everything for you.

4. Once you have been checked in:

If you are driving, continue down the street to the marked pick-up point.
If you are on foot or riding a bike, follow volunteer instructions.

5. After your food is loaded, continue east on 16th street. Do not attempt to turn around.
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Name* This field is required.Enter the first and last name of the primary (household) at Table of Hope Food Pantry.
First Name
Last Name
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Phone Number* This field is required.Enter the phone number of the primary (household) Table of Hope Food Pantry client. This is the number we will use to contact you if there are any issues with your application or pick-up date and time.
Area Code
Phone Number
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Alternate Phone NumberIf there is an additional phone number we can contact you at enter it here. If not skip to the next screen. We will only contact you if there is an issue with your order.
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EmailEnter the email of the primary (household) Table of Hope Food Pantry client. We will use this to contact you if we cannot reach you by phone.
A confirmation email will be sent to this account.
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Zip Code* This field is required.Enter the zip code of the primary (household) Table of Hope Food Pantry client.
Zip Code
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County* This field is required.Enter the county of the primary (household) Table of Hope Food Pantry client.
County
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Total Number of People in Household* This field is required.Enter the number of people in the household associated with your account. This will be verified prior to delivery. Be sure to include yourself.
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Select the total number of people in your household.
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Are there any military veterans in the household?* This field is required.To be counted, the veteran must be included in the total number of people in the household you gave in the previous question. The answer to this question will help with our grant funding requests and will have no impact on the amount or type of food given.
YESNO
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Dogs in Household (optional)We are able to provide one small bag of dry dog food per household. Select Yes from the drop down if you need dog food. Click next if you do not need dog food.
Yes
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Cats in Household (optional)We are able to provide one small bag of dry cat food per household. Select Yes from the drop down if you need cat food. Click Next if you do not need cat food.
Yes
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If Cats in Household (optional) do you need litter?If you have cats in your household, indicate if you need cat litter.
Yes
No
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ATTENTION!!!!

On the next screen you will select an apointment time. CHECK THE DATE CAREFULLY!

ONLY AVAILABLE TIMES ARE LISTED. IF ALL SLOTS ARE FULL THE SELECTION CALENDAR WILL AUTOMATICALLY MOVE TO THE NEXT WEEK (YOU COULD BE MAKING AN APPOINTMENT FOR THE FOLLOWING WEEK BY MISTAKE).

Choose a different time, schedule for another week or call (316) 267-1852 to speak with a scheduling volunteer.

We may close early or change appointment availability at our discretion - this is why appointments are so important! We always do our best to make times available for you. Food pantry volunteers stand and work outside to serve you so weather has a big impact on our ability to operate. Extremely hot or cold days or other inclement weather events will likely result in reduced appointment availability.
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Appointment* This field is required. Choose an appointment time, You have a 20-minute window to pick-up your food (for example if you select 11:00 am you will have from 10:50-11:10 am to pick up your order). Online appointments must be made at least 24 hours in advance. ONLY AVAILABLE TIMES ARE LISTED BELOW. If a time does not appear, this means all slots in that time frame are full. Choose a different time, schedule for another week or call (316) 267-1852 to speak with a scheduling volunteer.
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Picking up for or with another family?If you are going to be picking up for or with another family, please provide the First and Last Name(s) of that(those) individuals so we can have all of your orders ready to go together when you arrive. Note that a separate online order must be completed for each household picking up food.
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We have everything we needWe will NOT call to confirm your appointment unless there is an issue with your order. Please arrive within 30 minutes of the time you selected. If for any reason you need to cancel your appointment call us at (316) 267-1852 and speak with a volunteer or leave us a message. CHECK THE EMAIL ACCOUNT YOU ENTERED ABOVE FOR A CONFIRMATION MESSAGE. THIS WILL LET YOU KNOW YOUR REQUEST WENT THROUGH. THIS FORM WORKS BEST WITH GOOGLE CHROME.
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Appointment Type
Call In
Walk-In
Walk-Up
Online
Volunteer
Delivery
Missing Appt
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Scheduled By:
Helen
Judie
Mark
Other: __________
Duplicate (Not Scheduled)
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You must be an existing client of the Table of Hope Food Pantry to use this form. If you have never used our services complete the Food Pantry Pick-Up Request Form (New Client).
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