pantry

If you are a UAI Family in Need, please use the form below to request items from our Food and Clothing Pantry. We <3 You

Personal Information

First Name and Last Name*

Answer required for "First Name and Last Name"

My Cell # (or best way to reach me is): *

Answer required for "My Cell # (or best way to reach me is): "

My Student(s) Name: *

Answer required for "My Student(s) Name: "

Needed Items

Non Perishable Food - Non Perishable Food - Canned Goods and Grains*

Answer required for "Non Perishable Food - Non Perishable Food - Canned Goods and Grains"

Yes Please

No Thank You

Toiletries and Sanitary Products*

Answer required for "Toiletries and Sanitary Products"

Shampoo/Conditioner

Dental Care - Toothpaste, Tooth Brushes

Sanitary Pads/Tampons

Body Soap

Deodorant

No Thank You

Other:

Clothing and Under Garments*

Answer required for "Clothing and Under Garments"

Clothing (pants, shirts, sweaters, t-shirts)

Winter Gear (Winter Coat, Gloves, Hat)

Under Garments (Underwear, Socks)

Shoes

No Thank You

Other:

If you need clothing or under garments, please list sizes and specific needs here: (for example, pants size medium)

Answer required for "If you need clothing or under garments, please list sizes and specific needs here: (for example, pants size medium) "

If you need Toiletries, please list what you need here: (for example, body wash and tooth paste)

Answer required for "If you need Toiletries, please list what you need here: (for example, body wash and tooth paste)"

I would like to:*

Answer required for "I would like to:"

Pick up my items

Have my child bring needed items home

If you need anything else, please use the space to share

Answer required for "If you need anything else, please use the space to share"