Distribution Sign-Up - San Jacinto 05.20.26

May 2026 Food Bank Distribution - San Jacinto

The Lifekind Foundation is committed to providing nutritious food and essential items to our community members in need. Please complete the form below to sign up for a food pantry pick-up. Select your preferred pick-up date and time at the San Jacinto location. Please bring your ID when you come to pick-up.
Please note that your responses to the questions below will not effect your ability to access resources from Lifekind Foundation.
Name*

First NameLast Name
Pick-Up Person (if other than above)

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Physical Address Zip Code*
Primary Language Spoken at Home*
How many people are in your household?*
Is this your first time receiving resources from Lifekind Foundation or are you a returning community member?*

First TimeReturning
Food Security
Please indicate how often each of the following was true for your household in the past 12 months:
We worried whether our food would run out before we got money to buy more.*
The food we bought just didn't last and we didn't have money to get more.*
Location*

Lifekind Health - San Jacinto: 1695 South San Jacinto Ave, Suite B, San Jacinto, CA 92583
Pantry bag pick-up slots are available for Wednesday, May 20th only — please select a time that works best for you:*
Where did you hear about us?*
If "Other", please specify:
Which event?
I give Lifekind Foundation permission to send me marketing communications.*

YesNo
Should be Empty:

May 2026 Food Bank Distribution - San Jacinto