Kroger Feeds Families - Agency Sign-up Kroger Feed Families Agency Form Contact InformationName* First Last Phone*Email* Agency InformationAgency Name* Agency Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Agency Number* Choose Your Volunteer Date & LocationSelect your 1st Choice Volunteer Date & Kroger Location*January 6 - 7: 415 - 8999 Macomb St. , Grosse Ile , 48138January 6 - 7: 442 - 17447 Haggerty Rd. , Northville , 48168January 6 - 7: 691 - 36430 Ford Rd. , Westland , 48185January 6 - 7: 703 - 45540 Michigan Ave. , Canton , 48188January 6 - 7: 710 - 20903 Harper Ave. , Harper Woods , 48236January 13 - 14: 455 - 30851 Gratiot Ave , Roseville , 48066January 13 - 14: 461 - 64660 Van Dyke Ave. , Washington , 48095January 13 - 14: 528 - 41941 Garfield Rd , Clinton Twp. , 48038January 13 - 14: 602 - 28250 Dequindre Rd , Warren , 48092January 13 - 14: 663 - 26130 Gratiot Ave , Roseville , 48066January 13 - 14: 704 - 2058 25 Mile Rd , Shelby Twp. , 48316January 13 - 14: 754 - 7644 26 Mile Road , Shelby Twp. , 48316January 13 - 14: 757 - 2051 18 Mile Road , Sterling Heights , 48314January 13 - 14: 774 - 20891 E. 13 Mile Rd , Roseville , 48066January 20 - 21: 363 - 39950 West 14 Mile , Commerce CharterTwp. , 48390January 20 - 21: 366 - 51847 Ten Mile Road , South Lyon , 48178January 20 - 21: 440 - 3600 W. Maple Road , Bloomfield Hills , 48301January 20 - 21: 464 - 2105 W. South Blvd. , Troy , 48098January 20 - 21: 481 - 4395 Orchard Lake Rd. , West Bloomfield Twp. , 48323January 20 - 21: 487 - 31 East Long Lake Road , Troy , 48098January 20 - 21: 632 - 47650 Grand River Ave , Novi , 48374January 20 - 21: 634 - 47060 W Pontiac Trail , Commerce CharterTwp. , 48390January 20 - 21: 639 - 20730 Pontiac Trail , S. Lyon , 48178January 20 - 21: 642 - 8920 8 Mile Rd. , Ferndale , 48220January 20 - 21: 649 - 3097 Baldwin Rd. , Orion Twp. , 48359January 20 - 21: 651 - 5990 Sashabaw Rd. , City Village of Clarkston , 48346January 27 - 28: 579 - 3833 N. Dixie Highway , Monroe , 48162Select your 2nd Choice Volunteer Date & Kroger Location*January 6 - 7: 415 - 8999 Macomb St. , Grosse Ile , 48138January 6 - 7: 442 - 17447 Haggerty Rd. , Northville , 48168January 6 - 7: 691 - 36430 Ford Rd. , Westland , 48185January 6 - 7: 703 - 45540 Michigan Ave. , Canton , 48188January 6 - 7: 710 - 20903 Harper Ave. , Harper Woods , 48236January 13 - 14: 455 - 30851 Gratiot Ave , Roseville , 48066January 13 - 14: 461 - 64660 Van Dyke Ave. , Washington , 48095January 13 - 14: 528 - 41941 Garfield Rd , Clinton Twp. , 48038January 13 - 14: 602 - 28250 Dequindre Rd , Warren , 48092January 13 - 14: 663 - 26130 Gratiot Ave , Roseville , 48066January 13 - 14: 704 - 2058 25 Mile Rd , Shelby Twp. , 48316January 13 - 14: 754 - 7644 26 Mile Road , Shelby Twp. , 48316January 13 - 14: 757 - 2051 18 Mile Road , Sterling Heights , 48314January 13 - 14: 774 - 20891 E. 13 Mile Rd , Roseville , 48066January 20 - 21: 363 - 39950 West 14 Mile , Commerce CharterTwp. , 48390January 20 - 21: 366 - 51847 Ten Mile Road , South Lyon , 48178January 20 - 21: 440 - 3600 W. Maple Road , Bloomfield Hills , 48301January 20 - 21: 464 - 2105 W. South Blvd. , Troy , 48098January 20 - 21: 481 - 4395 Orchard Lake Rd. , West Bloomfield Twp. , 48323January 20 - 21: 487 - 31 East Long Lake Road , Troy , 48098January 20 - 21: 632 - 47650 Grand River Ave , Novi , 48374January 20 - 21: 634 - 47060 W Pontiac Trail , Commerce CharterTwp. , 48390January 20 - 21: 639 - 20730 Pontiac Trail , S. Lyon , 48178January 20 - 21: 642 - 8920 8 Mile Rd. , Ferndale , 48220January 20 - 21: 649 - 3097 Baldwin Rd. , Orion Twp. , 48359January 20 - 21: 651 - 5990 Sashabaw Rd. , City Village of Clarkston , 48346January 27 - 28: 579 - 3833 N. Dixie Highway , Monroe , 48162Select your 3rd Choice Volunteer Date & Kroger Location*January 6 - 7: 415 - 8999 Macomb St. , Grosse Ile , 48138January 6 - 7: 442 - 17447 Haggerty Rd. , Northville , 48168January 6 - 7: 691 - 36430 Ford Rd. , Westland , 48185January 6 - 7: 703 - 45540 Michigan Ave. , Canton , 48188January 6 - 7: 710 - 20903 Harper Ave. , Harper Woods , 48236January 13 - 14: 455 - 30851 Gratiot Ave , Roseville , 48066January 13 - 14: 461 - 64660 Van Dyke Ave. , Washington , 48095January 13 - 14: 528 - 41941 Garfield Rd , Clinton Twp. , 48038January 13 - 14: 602 - 28250 Dequindre Rd , Warren , 48092January 13 - 14: 663 - 26130 Gratiot Ave , Roseville , 48066January 13 - 14: 704 - 2058 25 Mile Rd , Shelby Twp. , 48316January 13 - 14: 754 - 7644 26 Mile Road , Shelby Twp. , 48316January 13 - 14: 757 - 2051 18 Mile Road , Sterling Heights , 48314January 13 - 14: 774 - 20891 E. 13 Mile Rd , Roseville , 48066January 20 - 21: 363 - 39950 West 14 Mile , Commerce CharterTwp. , 48390January 20 - 21: 366 - 51847 Ten Mile Road , South Lyon , 48178January 20 - 21: 440 - 3600 W. Maple Road , Bloomfield Hills , 48301January 20 - 21: 464 - 2105 W. South Blvd. , Troy , 48098January 20 - 21: 481 - 4395 Orchard Lake Rd. , West Bloomfield Twp. , 48323January 20 - 21: 487 - 31 East Long Lake Road , Troy , 48098January 20 - 21: 632 - 47650 Grand River Ave , Novi , 48374January 20 - 21: 634 - 47060 W Pontiac Trail , Commerce CharterTwp. , 48390January 20 - 21: 639 - 20730 Pontiac Trail , S. Lyon , 48178January 20 - 21: 642 - 8920 8 Mile Rd. , Ferndale , 48220January 20 - 21: 649 - 3097 Baldwin Rd. , Orion Twp. , 48359January 20 - 21: 651 - 5990 Sashabaw Rd. , City Village of Clarkston , 48346January 27 - 28: 579 - 3833 N. Dixie Highway , Monroe , 48162