Hawaii Foodbank

Hawaii Foodbank Logo

Pop Up Distribution- Kauai Philippine Cultural Center

Time: 10 a.m. to 12 p.m.

Saturday, December 19,2020

Instructions

Use the registration form below to receive your food distribution ticket. (One ticket per household)
After registering, a confirmation email with a link to your ticket will be sent to the email address used during the registration process.
* If you do not receive the confirmation email with the link for your ticket within 24 hours after registering, please contact [email protected]
Each vehicle may pick-up for up to 2 households. If you are picking up for more than one household, an adult from each household must be present in the vehicle with a valid government issued ID. Each adult must have a printed or electronic ticket.
To minimize traffic and waiting times, please do not show up earlier or later than your ticketed appointment time.
Name on ticket must match ID.

First Name

Last Name

Mobile Number

Zip

Number of adults in the household:

Number of children in the household:

Is anyone in the household employed/working?

Has anyone in the household been impacted by COVID-19 (ie. unemployed/furloughed, reduced hours, working remotely, homeschooling children, missed medical appointments, etc.)?

Is anyone in the household receiving public assistance (ie. EBT/SNAP, SSI, Quest, Section 8, WIC)?

Pick-up time:

Please click the plus button to complete the ticketing process prior to submitting your form.

Sold Out

10 Am To 12pm

FREE • 1 Guest Limit

Click the plus button to secure your ticket

Thanks for your interest! We’re all sold out..

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Card Number

Expiration Date

CVV What is this?