First Name

Last Name

Address

Phone

If yes, please list allergies

Number of people in household

Number of adults

Number of children

Ages of children (optional)

Additional questions or comments

Disclaimer:

While we make every effort to accommodate listed allergies, the Storehouse cannot guarantee a completely allergen-free environment. All items are in a shared facility or made offsite in another facility and cross contact can occur. Please carefully check all items provided.

Privacy and Consent:
By submitting this request, you understand that the information provided will be used by the Storehouse to process your request and to communicate with you about our services. Your details are kept confidential and will not be shared with any third parties.

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SHM Storehouse

Mission Statement: To follow the biblical call to feed the hungry and care for the needy by providing food to individuals and families in need, while fostering connection, dignity and service.

Vision: To create a sustainable, welcoming food pantry that reflects God’s heart for generosity and ensures that no family in our congregation or community goes without food.