Homebound Friends

If you or someone in your family is homebound, resides in the Matanuska-Susitna Valley, and is unable to travel to the dinner, fill out the form below. A volunteer will deliver a delicious meal to the whole family between 10 am and 1 pm on Christmas Day. Form must be received by December 23. If you prefer to phone in your request, please call 907-631-9776.

Call 907-631-9776 with questions or if you have not received your meal by 1:00 pm on Christmas Day.

Meal Request Form

At least 1 person needs to be HOMEBOUND. Meals will be provided for the entire family and a family board game will be provided upon request.

We are unable to honor requests for customized meals.

Meals will be delivered between 10:00 a.m. and 1:00 p.m.on Christmas Day, December 25. We are sorry, but specific times cannot be scheduled.

Please submit only one form for the family request.

TOTAL number of meals to deliver:(Required)

Family Board Game?

Yes

How Do We Find You?

Name of Recipient(Required)

Primary Phone(Required)

Secondary Phone

Email of Recipient(Required)

Name of Contact (if different)

Primary Phone

Secondary Phone

Email of Contact

Physical Address (must be in Mat-Su Valley)(Required)

Street Address City State ZIP Code

Special Instructions (i.e. which door to use, wait for delayed response to door)

Detailed Driving Directions Starting From Menard Sports Center, Wasilla

Are You Human? Answer this: 3+5=?(Required)