Wish Big FoundationApplicant portal

Grocery Support Program: enrollment

Please complete every section. One enrollment per family.

Enrolling in the Program does not guarantee that you will receive a gift card. Gift cards are issued only if, and to the extent that, Program funds are available or become available. You may wait for some time, and you may not receive a gift card at all.

Your information

How would you like to receive your gift card?

Identification

You need one valid, unexpired government-issued photo ID. It is checked by a third-party identity verification service after this form: you will photograph your ID and take a photo of yourself (a "selfie") to confirm the ID belongs to you.

Family and relationship questions

Is anyone else in your family (living at your address) already enrolled in the Grocery Support Program?
Are you, or is anyone in your family, a director, officer, employee, or volunteer of Wish Big Foundation, Inc.?

Agreement and certification

Please read each statement and tick the box to confirm that you understand and agree. The Terms and Conditions are on the program page.

Signature

After you submit this form, we check your ID, then send a one-time code by text message to your mobile phone and a one-time code to your email address. Your enrollment is complete, and your family is placed on the waiting list, only after your ID, phone number, and email address have all been verified.

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