GoodRoots NW New Member Registration

New Member Registration

Membership is free and food is free. We welcome anyone living in Washington. Members shop online + pick up at a locker.Please register your household once.
TEFAP/USDA Info (Required)
To receive TEFAP (USDA) food, you self-declare that:

1. The name and household size you provide are correct.
2. You live in Washington State. (No minimum residency length required)
3. Your household income is at or below 400% of Poverty. (see chart below)
4. You agree that the TEFAP (USDA) food is for home use and that your household is in need of this food.

When receiving TEFAP (USDA) food, the following is NOT required:
1. Address, social security number, or identification
2. Proof of citizenship, immigration status, household size, or income
3. Any information not required by TEFAP
4. You will not be denied TEFAP (USDA) food if you choose not to share optional information.
Name*

First NameLast Name
Additional Household Members (if not, select 0)*
Is this your first time visiting a pantry in Washington State this calendar year?

YesNo
Additional Info (Not Required)

This information is optional. You will ALWAYS receive food, but sharing it helps us with funding reports.
Your Birth Year & Race:
Enter Birth Year & Race For Each Household Member
City - This ensures you will get a locker closest to you.
Are you currently enrolled at one of these colleges?

Bates Technical College, South CampusPierce College, Puyallup Campus
If enrolled above, please enter your student ID.
Phone Number
Phone Type

CellularLandline
Email (If you do not have email, please text or call us at 253-303-5909)

Confirmation Emailexample@example.com
Once you submit, you are officially a member. Look for an email confirmation for how to order online and pick up at a locker nearest you.
Should be Empty:

New Member Registration

TEFAP/USDA Info (Required)

Additional Info (Not Required)

Once you submit, you are officially a member. Look for an email confirmation for how to order online and pick up at a locker nearest you.