FARE Registration – Free-From Market

Name*

Shipping Address*

Street Address City State ZIP Code

Email*

What is your relationship to food allergies?*

Select all that apply

I have a food allergy

I am the parent or guardian of at least 1 child with food allergy, 0 to 12 years old

I am the parent or guardian of at least one child with food allergy, 13 to 17 years old

I am the parent of at least one adult child with food allergy, 18 years or older

I have a spouse or partner with food allergy

I have no relationship to food allergy

Click the "Add Family Member" button to list each person in your household that has a dietary restrictions (e.g., food allergy).

Include yourself if you have a dietary restriction.

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There are no Family Members.

Complete this survey
to activate your account