Holiday Dinner Registration I

Registration Form for the December Holiday Dinner Distribution

Please complete the information below. All request are fulfilled on a first come first serve basis. We will notify you if your first choice is not able to be granted.

Name(Required)

First Last

Phone(Required)

Email(Required)

You may receive your Holiday meal by having it delivered by the Terryville Lions, picking it up at the Food Pantry on your normal shopping day, or having it delivered to you by the Food Pantry on your normal delivery date. The Lions delivery date will be Saturday, December 21st with a snow date of Sunday the 22nd. In order to have the Lions deliver, you must complete a consent form and promise to be home on the day of delivery.

Choice of Holiday Meal Distributor(Required)

Lions

Plymouth Community Food Pantry

By selecting the Terryville Lions Club to deliver my Holiday meal, I promise to be home to accept delivery on 12-21-24 or 12-22-24 in the case of a snow cancellation on the 21st, and I give permission to the Plymouth Community Food Pantry to release my NAME, ADDRESS, and PHONE NUMBER to the Lions Club for the purpose of delivering my Holiday meal. By checking the YES box below, I agree to the statement above.(Required)

YES

Please select one of the choices below.

Turkey

Bone-In Ham

After submitting the order form you will know you are successful by scrolling down to the white area. If you see a message that says "Thanks For Contacting Us, We Will Get In Touch With You Shortly", you have completed your form accurately. If there is a RED box that says "There was a problem with your submission...", you need to fix the incomplete boxes that are highlight in red.

CAPTCHA

11162

Donate

Every household pantry runs low at some time. The Plymouth Community Food Pantry is no different. You can help us by donating some of the items listed below. These items hardly ever change because we seldom receive them from our partner, Connecticut Foodshare. We usually purchase them. Your thoughtfulness is appreciated

Drop-Off Points

Plymouth Community Food Pantry

20 Dewey Ave., Terryville, Mon. & Wed. 1 hour before opening

Plymouth Volunteer Ambulance Corp.

191 Main St., Terryville, Rear Lobby

Adams Hometown Market

331 Main St. Terryville, basket by cash registers

Kids Cereal	Oatmeal	Canned Pasta & Ravioli
Canned Soup	Baked Beans	Tuna
Boxed Potatoes	Canned Fruit	Vegetable Oil
Coffee & Tea	Pancake Mix	Sryup
Baked Goods Cake Mix Brownie Mix Muffin Mix Flour & Sugar	Personal Care Shampoo, Deodorant, Bar Soap, Tooth Paste	Condiments Ketchup, Mayo, Mustard, Dressing
Nutritional Drinks Ensure/Boost Regular & Glucose Control	Gift Cards to Adams IGA

Donate Today or Get Involved

Help Reduce Hunger By Donating Today!

Make a Donation

Holiday Dinner Registration I

Donate

Drop-Off Points

Kids Cereal

Oatmeal

Canned Pasta & Ravioli

Canned Soup

Baked Beans

Tuna

Boxed Potatoes

Canned Fruit

Vegetable Oil

Coffee & Tea

Pancake Mix

Sryup

Baked Goods Cake Mix Brownie Mix Muffin Mix Flour & Sugar

Personal Care Shampoo, Deodorant, Bar Soap, Tooth Paste

Condiments Ketchup, Mayo, Mustard, Dressing

Nutritional Drinks Ensure/Boost Regular & Glucose Control

Gift Cards to Adams IGA

Help Reduce Hunger By Donating Today!