Order Form


Fill out the entire form as accurately as possible. When completed, click on the submit button. The Food Pantry serves individuals and families in the Fort Atkinson School District. Contact us with questions.


Our Hours

Monday - 3:00 PM until 5:30 PM
Tuesday - closed
Wednesday - closed
Thursday - 3:00 PM until 5:30 PM
Friday - closed
Saturday - closed
Sunday - closed

You must submit this order before 6:00 AM on the Day of Pick Up. If you select Request Delivery, please text or call (920) 397-0140 to recieve information about our delivery program.

Please understand that the variety of food at our pantry changes often and at times we may substitute with similar items.


Soup - Choose Total of

Potato - Choose Total of

Canned Fruit - Choose Total of

Canned Vegetables - Choose Total of

Cereal - Choose Total of

Peanut Butter - Choose Total of

Canned Pasta / Beef Stew - Choose Total of

Spaghetti - Choose Total of

Canned Tuna / Chicken - Choose Total of

Macaroni & Cheese - Choose Total of

Pancake Mix - Choose Total of

Pasta / Rice - Choose Total of

Hamburger / Ground Turkey - Choose Total of

(Subject to Availability and Size of Household)


Butter / Margarine - Choose Total of

(Subject to Availability and Size of Household)


Bread - Choose Total of

Hotdogs - Choose Total of

Cheese - Choose Total of

Eggs - Choose Total of

Milk - Choose Total of

Misc. Meat - Subject to Availability and Size of Household