Disclaimer: Submitting this form does not guarantee that you will receive help. K1 will, together with local counterparts, endeavor to assist you, but cannot guarantee this as the help we are able to provide is limited by the amount of donations received.
Consent: By submitting this form you give K1 permission to share your information with our local counterparts. By sharing information, we can make sure that the limited help available on the island is shared among those who need assistance as much as possible. K1 will destroy all personal information in its possession after completion of the food distribution program.