Meal Sign Up

Sign up for a meal

Signing up for an in-person meal is not required, but it is encouraged so we can plan to have plenty of food for everyone.

Delivery is available in the Lead-Deadwood area for those who are unable to attend in person.

Meal Sign-Up

Meal Site Preference

In-person meal

Meal delivery

Individual or Family

Individual

Family

Family Size

Please enter a number in each age group. If no one of that age group is included, please enter 0.

How many in the 0-17 year old age group?

How many in the 18-59 year old age group?

How many in the 60+ year old age group?

Food Sensitivities

Please list food sensitivities and restrictions. Hope’s Kitchen will do what we can to meet your needs, but we cannot always guarantee accommodations. If you list food sensitivities or allergies, please include phone number or contact information, so we can verify information.

Do you have any food allergies or sensitivities?

Yes

List food sensitivities

Phone

County of Residence

First Name

Last Name

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Number of Meals Needed

Special Delivery Instructions