Thanksgiving Outreach Form
Please fill in your details to register for the Thanksgiving dinner boxes
First name
Last Name
Email
Phone Number
Address
Date Of Birth
Race
Race/Ethnicity
White
Black/African American
Hispanic/Latino
Asian
American Indian/Alaska Native
Native Hawaiian/Other Pacific Islander
# of people in household that will benefit from the dinner
No. of people that will benefit from the dinner
1
2
3
4
5
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