There are two words that should never go together
"HOMELESS AND VETERAN"

HOUSE A VET PANTRY
CLIENT INTAKE FORM

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HOUSE A VET CLIENT INTAKE FORM.

PLEASE COMPLETE REGISTRATION FORM BELOW.

House as Vet Client Intake Terms and Conditions

The undersigned client certifies that the information/answers provided are
complete and true and further agree to the following:
 Food is limited and is provided until supplies are depleted. I understand that
it is my decision to accept food from the pantry. I relinquish House A VET
Food Pantry from all liability of any nature whatsoever and accept the food at my own risk.
 There is no guarantee to the amount or type of food product given.
 I will not sell the food or non-food products or exchange /barter food or nonfood
products for services.
 Inappropriate behavior such as profanity, verbal abuse of staff or any other
disruptive behavior is prohibited. Any such behavior will result in
suspension or termination of your privilege at this food pantry.I understand that
 I am receiving this food at my own risk and
will not hold the House A Vet or its member agency
responsible for any reason for any food received through this
food distribution program. I understand that there are no
payments or donations required for the food. I agree that I will
not sell or exchange for property or services any food that I
receive.