Grace Community Church Food Basket Request Form

Names of Other Adults Living at this address:

Names of Children living at this address:

Address: (You must LIVE in Williams County)
If you live in Montpelier, please contact See & Do.
Please do not fill out this form
Thank you for your help.

Will you be receiving help from Kiwanis, Edgerton Ministerial Association or any other agency or church or company?

Is this the first time you have applied for a Christmas Food Basket