Project Visitation Volunteer Gift Card Request Form
We appreciate our Project Visitation volunteers and would like to provide gift cards, as much as we can, to supplement the cost for sibling visits. Please complete the form below to request gift cards, preferably at least 2-week prior to visit. The availability of gift cards is determined by our funding/donation sources and are not guaranteed. We ask volunteers to please use the gift cards for PV visits only and to complete the visitation form after the visit.
Name
*
First Name
Last Name
Email
*
example@example.com
Name of sibling group
*
Date or month of visit
*
mm/dd/yy or Month
Number of siblings joining visit
*
Number of volunteers joining visit (including yourself)
*
Type of gift card requested: (choose as many as applies)
Food
Activities
Gas
Type of gift card being requested:
*
Food
Activity
Neither (gas card only)
Restaurant requested:
Please Select
Burger King
Chick-fil-A
Chuck E. Cheese's
Dave & Buster's
Domino's Pizza
Five Guys
IHOP
Jamba
Jersey Mike's
McDonald's
Panda Express
Papa John's
Pizza Hut
Popeyes
Starbucks
Subway
Taco Bell
Wendy's
Zippy's
Amount requested for restaurant gift card: (max is $10 per person, including volunteers)
Activity requested:
Please Select
Aiea Bowl
Bay View Mini-Golf (date/time for reservation needed)
Chuck E. Cheese's
Consolidated Theatres
Dave & Buster's
Fun Factory
Glow Putt Mini-Golf
Honolulu Zoo (membership for 2 adults + up to 4 children)
iTrampoline
Kids City Premiere Playground
Regal Theatres
Ice Palace
Tropic Mini-Golf (date/time for reservation needed)
Amount requested for activity gift card: (max is $15 per person, including volunteers)
Is a gas card being requested?
*
Please Select
Yes
No
Name of volunteer(s) driving, who would like a gas card:
How would you like to receive your gift cards?
*
Please Select
Pick up at FPH Honolulu office
By Mail
Mailing address:
Other comments or needs:
Do you agree to use the gift cards only for PV visits, to sign/return receipt form to FPH staff, and to complete the visitation form after the visit?
*
Yes
Submit
Should be Empty: