November 2026 Food Pickup Registration
Please complete this form by Thursday, November 19, 2026, to request food assistance for pickup on Saturday, November 21, 2026. Your registration helps us prepare food boxes and accommodate your household’s dietary needs. We look forward to serving you! 🤎
Have you received food from S’Moore Love before?
*
Yes, I'm a returning family
No, this is my first time
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
How many people are in your household, including children?
*
Are there children under 18 living in your household?
*
Yes
No
Ages 0–5
*
Ages 6-12
*
Ages 13-17
*
Have there been any changes to your household information since your last registration?
*
Yes
No
Please describe any changes to your household information.
Include changes to your address, household members, or children's ages, if applicable.
Does anyone in your household have food allergies or dietary restrictions?
*
Yes
No
Please list any food allergies or dietary restrictions we should be aware of
Please include any foods your household cannot eat so we can prepare your food box appropriately.
Does your household have access to a refrigerator and freezer?
Yes
No
Will you or someone on your behalf be available to pick up your food box on Saturday, November 21, 2026?
*
Yes, I will pick up.
Yes, someone else will pick up for me
Please provide the full name of the person picking up on your behalf
How can we pray for you or your family?
Prayer requests are optional and will be shared only with designated ministry team members.
I understand and acknowledge that if I do not pick up my donation during the scheduled time, the food may be reassigned to another family.
*
I have read and understand the pickup policy.
Submit Food Pickup Registration
Should be Empty: