Sign Up for the Teton County Food Pantry

This page is currently under design. It is not intended to be used to contact the food pantry at this point. If you have emergency food needs, or would like to learn more about the Teton County Food Pantry, please contact Linda Sentz at 466-2750.

Please use the following form to sign up for the Teton County Food Pantry. This form is for new households only – if you or a member of your household has previously received food from the Pantry, please visit this page to request a food disbursement. After filling out this form, a member of the Pantry will contact you to complete the registration process with you. If you have additional questions or need to speak to someone about a food emergency, please call one of the numbers on our homepage.

First Name *

Last Name *

Other Last Names

Other last names that you may use. If you have no other last names, please leave blank.

Phone

Alternative Contact Information

If you do not have reliable access to a phone, please provide us with an email or other preferred method of communication. This will allow our volunteers to reach out and complete the final steps of your registration process, as well as coordinate your food disbursements.

How many individuals live in the house, including yourself?

Physical Address

Address Line 1

Address Line 2

City

State

Zip Code