Hope for the Holidays Registration

Pick Up Dates

Thanksgiving

Last Name A - L: Wednesday, November 18th | 9:00 AM - 12:00 PM

Last Name M - Z: Thursday, November 19th | 9:00 AM - 12:00 PM

Christmas

Food Pick-Up Only

Monday, December 14th | 9:00 AM - 12:00 PM

Food & Toy Pick-Up Date Will Be Assigned After Registration

Toy registration is for infants - 13-year-olds.

Hope for the Holidays Form

Name

First Name

Last Name

Date of Birth

Address

City

State/Province

Zip/Postal

Country

Phone

Alternate Phone

Number in Household

If Applicable, Name of a responsible person with permission to pick up

First Name

Last Name

Are You a Current Portage County Pantry Client?

Yes

Do You Have Children in Your Household?

Yes

Please Provide First Name, Last Name, Age, and Gender of Each Child. Please either email proof of residency for your child to [email protected] or bring it with you to pick-up.

I verify that the information provided is accurate and that I am eligible for holiday assistance. I hereby give permission to AFS to share my information with Salvation Army and Catholic Charities. By signing below, I declare that I have read, understand, and meet the eligibility criteria to receive food and nonfood supplies provided by American Rescue Plan Act funding through Portage County, Ohio

Clear

Date Signed

If you are human, leave this field blank.

Hope for the Holidays Registration

Pick Up Dates

Thanksgiving

Christmas

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