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Baptist Church Petersburg

FOOD ASSISTANCE

COMMUNITY TRANSFORMERS FOOD ASSISTANCE

Complete the registration form to register for food assistance services. All information is confidential.

Participant Information

First name*

Last name*

Date of Birth*

Month

Day

Year

Phone*

Email

Household Information

Home Address*

Number of People in Household:*

Number of Children under 18:*

Food Access Needs:

Food Access Needs:

Grocery Boxes

Home Food Delivery

Hot Meals

Emergency Food Support

Dietary Food Restrictions or Food Allergies:

I certify that the information provided is true and understand that submission does not guarantee services.

ABOUT US

We are "a Concerned Church for all People" that takes a holistic approach to ministry to speaks to the whole person in pursuit of spiritual and personal growth. We are a praying church, a growing church, a loving church. We envision to be a beacon of light for all who seek and love the Lord.

ADDRESS

418 Halifax Street
Petersburg, Virginia 23803

804-733-6541

SUBSCRIBE FOR EMAILS

Email*

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ACCESSIBULTY STATEMENT

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