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Soldiers' Angels Military and Veteran Food Distribution Program Annual Application

Soldiers' Angels Hunger Relief Program is proud to host a Military and Veteran Food Distribution event, providing food assistance to low-income veteran families, active-duty service members, members of the National Guard, and reservists - ensuring support for all who serve or have served. 

Please be advised: Individuals with three documented no-shows within a calendar year will become ineligible for future Soldiers' Angels military and veteran food distributions.

Service Member or Veteran's Name




The birthdate entered must equal or be greater than 18 years of age.

Address






Some of the questions below are being asked so Soldiers' Angels can better serve and support your needs with resources and referrals.



Upload document to verify proof of military/veteran status.














This should reflect your annual income

Upload document to verify military annual pay.

This should reflect your annual income

Upload document to verify retirement annual pay.

This should reflect your annual income

Upload document to verify VA Disability annual pay.

This should reflect your annual income

Upload document to verify SSDI/SSI annual pay.

This should reflect your annual income

Upload document to verify SSDI/SSI annual pay.

This should reflect your annual income

Upload document to verify SSDI/SSI annual pay.

Alimony, child support, caregiver stipend, CRDP/CRSC


Upload document to verify SSDI/SSI annual pay.

Upload document to verify SSDI/SSI annual pay.

Upload document to verify SSDI/SSI annual pay.

Upload document to verify SSDI/SSI annual pay.



Review the calculated Total Annual Household Income amount and check this box to confirm the total.











LIABILITY AND RELEASES:

As consideration for being allowed to participate in the event(s) described below, I agree:

  1. I hereby assume all of the risks of participating in this event. I realize that liability may arise from negligence or carelessness on the part of the persons or entities organizing or conducting this event and hereby release them of all possible liability. I certify I am at least 18 years old. I promise not to sue and agree to pay all court costs and all attorney fees that result from my action, civil or otherwise.
  2. In consideration of my being permitted to participate in this event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) Waive, Release and Discharge from any and all liability for my death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter accrue to me during the event or during my traveling to and from this event, THE FOLLOWING ENTITIES OR PERSONS: Soldiers' Angels, officers, donors, sponsors, employees, representatives, agents, volunteers and (B) indemnify and hold harmless the entities or persons mentioned in this paragraph from any and all liabilities or claims made by other individuals or entities as a result of any of my actions during this event.
  3. I hereby release Soldiers' Angels and their donors from any and all claims based upon or arising out of the use, reproduction, distribution, display or performance of all or any part of the photographs or recording, or any derivative thereof, including any claim of invasion of privacy or right of publicity.
  4. I understand Soldiers' Angels may release information pertaining to my participation or registration for this event to the servicing VA and the servicing food bank.
  5. I understand Soldiers' Angels and their donors intend to utilize photographs, recordings, and media interviews for marketing purposes.

AGREEMENT TO NOT SELL OR EXCHANGE:

I certify I will not offer for sale, sell, transfer nor barter the items supplied by Soldiers' Angels in exchange for money, other properties or services either directly in person, through other agents, auctions, the internet, or any other avenues or means of social media.

AGREEMENT TO RECEIVE TEXT MESSAGES

I agree by providing a mobile phone number on this application I am consenting to receiving text messages from Soldiers' Angels related to this event and other Soldiers' Angels events and activities.