Food Assistance Registration

December (month) Distribution will be December 19th. 

After registering, you will receive notification of your scheduled time and date for pickup.

We have a 90 day eligibility for those who have previously received food.

If you have an emergency need please call 281-471-0338.

**If you are a church partner sponsoring a family, please complete the bottom portion of this form.

**Registration MUST be submitted by December 11th

Ex. 1 adult   3 children

 Once you complete the top portion you may submit your registration

**If you are a church partner sponsoring a family, please complete the bottom portion before you submit the form.

First Baptist Church La Porte

281-471-0338

firstlaporte.org

310 S Broadway

La Porte TX 77571

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