Soldiers' Angels
Detroit Food Pantry Client Registration
November 25, 2025
Sponsored by:
The Detroit Pistons
Service Member/Veteran Information
Service Member/Veteran First Name
Service Member/Veteran Last Name
Last 4 digits of SSN
Date of Birth
What is your current status?
Active Duty
National Guard/Reserves
Veteran
Social Worker or Case Manager submitting this on behalf of a Veteran
Case Manager/Staff Information
Case Manager/Staff First Name
Case Manager/Staff Last Name
Email of Case Manager/Staff
Address Information
Street Address
Address Line 2 (Optional)
City
State
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
ZIP Code
Contact Information
Phone Number (Mobile Preferred)
Email Address
Military Service Information
Proof of Military/Veteran Status (to bring to event)
Please select...
Retired Military ID
DD-214
VA Card
Current Military ID
Branch of Service LAST or CURRENTLY Served/Serving
Please select...
Army
Navy
Air Force
Marines
Coast Guard
Space Force
Was the Veteran DISCHARGED Pre 9-11 or Post 9-11?
Pre 9-11
Post 9-11
Current Rank or Rank at DISCHARGE
Please select...
E1-E5
E6-E9
O1-O3
O4-O6
O7+
VA Benefits Information
Does the Veteran have a VA Disability Rating?
Yes
No
Is the Veteran currently enrolled with the VA to receive benefits? (enrollment is not required to participate)
Yes
No
Is the Veteran currently homeless?
Yes
No
Demographics
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
Race
Please select...
White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
Mixed Race
Other
Income Information
Military Pay ANNUAL GROSS
Retirement Pay ANNUAL GROSS
VA Disability Pay ANNUAL GROSS
SSDI or SSI ANNUAL GROSS
Caregiver Stipend ANNUAL GROSS
Spouse/Partner Income ANNUAL GROSS
Alimony/Spousal Maintenance ANNUAL GROSS
Housing Stipend ANNUAL GROSS
Child Support ANNUAL GROSS
Other Income ANNUAL GROSS
Total Annual Household Income ANNUAL GROSS
Event Information
Please choose a time slot to attend
Please select...
10:00AM
10:15AM
10:30AM
10:45AM
Is this a first time Soldiers' Angels Food pantry recipient?
YES
NO
Household Demographics
Total # in household
Total # household Males
Total # household Females
Total # household aged 0-5
Total # household aged 6-18
Total # household aged 19-40
Total # household aged 41-59
Total # household aged 60+
Total # household Active Military
Total # household Retired Military
Total # household Guard/Reserve Military
Total # household Veteran
Acknowledgements
Required Acknowledgement
By checking this box I acknowledge I have read, understand, and agree to the terms of this liability and release, the agreement to not sell or exchange, and the agreement to allow receipt of text messages.
Birthday Cards & Special Occasion Cards
We would like to add this Service Member or Veteran to receive birthday cards, welcome home cards, and other special occasion cards. (Check to OPT OUT)
Contact Information