Register for Services

All initiatives are open to Bronzeville Residents only.

Upon completing this form you will be directed to our Membership registration page where we invite you to also become a member of Lugenia Burns Hope Center.

First Name *

Last Name *

Your Email *

Street Address *

Phone Number *

Services Requested:
—Please choose an option—Food for Families (must have children under 18)Rides for Seniors (grocery and pharmacy)PPE and Health and Hygiene packages - Open to Bronzeville Residents

If you selected 'Food for Families', how many children are at your residence?

If you selected 'Food for Families', what are your children's age? e.g. 3, 12, 16

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