If you or someone you know is in need of weekly groceries or home cleaning products, please complete the form below to request a Food Box or a Home Care Pack* from our pantry.

You can also assist Calvary Chapel Mid Valley every 3rd Thursday of the month by volunteering to pack and fill food boxes and home care packs.  Contact the church office to volunteer.

(*limit 1 Home Care Pack per month per family)

Mandatory *

Name  *

 

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Address  *

 

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Phone Number  *

 

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Number of Family Members in Household

 

Field not valid (required or bad value)

Food Box?

Home Care Box?

   

Field not valid (required or bad value)