ASA Now Birthday Celebration Request Form

ASA Now Foster Children's Birthday Cake Request Form

* You must hit SUBMIT Button for your registration to go through*
🌟 BIRTHDAY PARTY FOR CHILDREN IN FOSTER CARE 🌟

At ASA Now, we believe that every child deserves to feel special on their birthday. For many children and youth in foster care, their birthdays can sometimes be overlooked. That's where Jacob's Birthday Wishes steps in to ensure every child gets to celebrate their special day with a big birthday celebration surrounded by foster/adoptive families who care.

THIS REGISTRATION CONFIRMS YOUR CHILD WILL RECEVE A CAKE AND GIFTS TO ENJOY BIRTHDAY CELEBRATION.

Please Note: The organization providing custom cakes requires that we give them 10 days' notice to order a custom cake. Requests made with less than 10 days' notice for pick up unless this is a new placement within 10 days of thier birthday.

Here's what we offer:

🍰 Custom Cake (with a 10-day notice)

🎁 Educational Gift

🎈 Fun Gift

📚 Book

🧸 Stuffed Animal

🧣 Blanket

💳 Gift Card for Teens

📍 Location: ASA Now - Jacob's Mission Community Center

🏠 Address: 7830 E. University Dr. Mesa, AZ 85207

Please take a few moments to fill out this form for your foster child/children with birthdays within the next 30 days.
Are you an (check all that apply)*

Unlicensed KinshipLicensed KinshipLicensed Foster FamilyTribal Foster FamilyGuardianship Family (Youth from Foster Care)Licensed Group HomeDCS Case Manager, CASA, or Licensing WorkerOther
What events are you interested in learning more about? (check all that apply)

Jacob's Mission Community Center (after school tutoring, art, dance, piano, guitar, karate, life skills, sports)Foster Hope New Placement Bags filled with essentialsFoster Hope Food Box for Families in NeedFoster Hope School BackpacksFoster Children's Birthday PartyLife Skills Workshops (age 12 and over) such as cooking, framing, electrical, drywall, coding, gardeningJacob's Law Presentation (behavioral health timelines)Clothing from our 24/7 Giving ClosetParent's Night Out for Foster, Kinship & Adoptive FamiliesFamily Socials (get to know other families) for Foster, Kinship & Adoptive FamiliesChristmas Event for Foster, Kinship & Adoptive FamiliesChristmas Gifts for Kinship & Foster Families in NeedYearly Couples RetreatYearly Trauma Mama RetreatMonthly Support GroupVolunteering OpportunitiesResources and Trainings for Caregivers (Trauma Training, in-the-moment skills, IEP, etc)
Caregiver or Parent's Name # 1*

Last NameFirst Name
Name of Group Home (type N/A if child is not in a group home)*
Current Address*

Street Address

CityPostal/Zip Code

COUNTY you reside in
Upload Caregiver or Aged Out Youth State-Issued Driver's License/ID Card*

Cancelof
Cell Phone Number (for text message reminders)*
E-mail*
example@example.com
What licensing agency are you with? (unlicensed kinship should also have a licensing agency)*
Total Number of People Currently Living in the Home?*
Includes all Adults and Children
Total Number of Adults Living in the Home (including children over 18 who are no longer in high school)*
Total Number of Children Living in the Home (including children over 18 who are still in high school) *
Number of Children in Foster Care, Tribal Foster Care, or DCS Guardianship Living in the Home (including those 18 and over who are still in high school)*
Kinship is included in this number since they are in the custody of DCS
Number of Adopted Children Living in the Home (including children 18 and over who are still in high school)*
Number of Biological Children Living in the Home (including children 18 and over who are still in high school)*
Number of NON-DCS Kinship or NON-DCS Guardianship Children Living in the Home (including children 18 and over who are still in high school)*
Please select date from below you would like to pick up cake and gifts. In order to get custom cake request must be made 10 days in advance. Request can be made 30 days in advance. Cake and gifts can be picked up from office or during our monthly event.*

Monthly Life skills. Next 2 months dates: 2/7 and 3/7February 20th - Pick up from OfficeThursday March 5th - Pick up from officeThursday March 19th - Pick up from officeThursday April 2nd from OfficeSaturday April 4th from ASA Now Easter Event. Must be registered for Easter Event
These requests are only for children who are CURRENTLY IN FOSTER CARE. To register click YES and enter their information from youngest to oldest.

Yes I have a foster child to register
- Foster Child #1 Given/Legal Name (and preferred name for cake)*
  
  Last NameFirst Name (and preferred name for cake)
- Gender:*
  
  MaleFemaleOther
- Does this child have a birthday within the next 30 days?*
  
  YesNo
- Age child is turning*
- Birthdate (ex: 10232018)*
  (please enter the date with no dashes between month, day and year)
- Cake Flavor*
  
  Carrot CakeChocolateCoconutConfetti/FunfettiCookies & Cream/OreoLemonMarble (Chocolate & Vanilla Swirl)No Preference (Baker's Choice)Red VelvetStrawberryTres LechesVanilla (White Cake)Vanilla (Yellow Cake)Other
- Frosting Type*
  
  Buttercream (classic frosting, creamy & smooth)Cream CheeseNo FrostingNo Preference (Baker's Choice)Whipped Cream
- Frosting Flavor*
  
  CaramelChocolateConfetti/FunfettiCookies & Cream/OreoNo Preference (Baker's Choice)Peanut ButterStrawberryVanillaOther
- Favorite Character or Interest for Cake Theme*
- Clothing size
- Please share any additional information about this child that will help us choose gifts they will enjoy. (gift budget is around $20/gift)*
- Age Bracket*
  
  0-23-56-1213-18
- Ethnicity:*
  
  WhiteHispanic or LatinoBlackAsian Pacific IslanderAmerican Indian/Alaskan WhiteMulti EthnicUnknown
- Please upload this child's Notice to Provider*
  
  Cancelof
- Do you have additional foster children to sign up?*
  
  YesNo
- Foster child #2 Given/Legal Name (and preferred name for cake)*
  
  Last NameFirst Name (and preferred name for cake)
- Gender:*
  
  MaleFemaleOther
- Does this child have a birthday within the next 30 days?*
  
  YesNo
- Age child is turning *
- Birthdate*
  
  MonthDayYear
- Cake Flavor*
  
  CarrotChocolateCoconutConfetti/FunfettiCookies & Cream/OreoLemonMarble (Chocolate & Vanilla Swirl)No Preference (Baker's Choice)Red VelvetStrawberryTres LechesVanilla (White Cake)Vanilla (Yellow Cake)Other
- Frosting Type*
  
  Buttercream (classic frosting, creamy & smooth)Cream CheeseNo FrostingNo Preference (Baker's Choice)Whipped Cream
- Frosting Flavor*
  
  CaramelChocolateConfetti/FunfettiCookies & Cream/OreoNo Preference (Baker's Choice)Peanut ButterStrawberryVanillaOther
- Favorite Character or Interest for Cake Theme*
- Clothing size
- Please share any additional information about this child that will help us choose gifts they will enjoy. (gift budget is around $20/gift)*
- Age Bracket*
  
  0-23-56-1213-18
- Ethnicity:*
  
  WhiteHispanic or LatinoBlackAsian Pacific IslanderAmerican Indian/Alaskan WhiteMulti EthnicUnknown
- Please upload this child's Notice to Provider*
  
  Cancelof
- Do you have additional foster children?*
  
  YesNo
- Foster child #3 Given/Legal Name (and preferred name for cake)*
  
  Last NameFirst Name (and preferred name for cake)
- Gender:*
  
  MaleFemaleOther
- Does this child have a birthday within the next 30 days?*
  
  YesNo
- Age child is turning *
- Birthdate*
  
  MonthDayYear
  (please enter the date with no dashes between month, day and year)
- Cake Flavor*
  
  CarrotChocolateConfetti/FunfettiCookies & Cream/OreoLemonMarble (Chocolate & Vanilla Swirl)No Preference (Baker's Choice)Red VelvetStrawberryTres LechesVanilla (White Cake)Vanilla (Yellow Cake)Other
- Frosting Type*
  
  Buttercream (classic frosting, creamy & smooth)Cream CheeseNo FrostingNo Preference (Baker's Choice)Whipped Cream
- Frosting Flavor*
  
  CaramelChocolateConfetti/FunfettiCookies & Cream/OreoNo Preference (Baker's Choice)Peanut ButterStrawberryVanillaOther
- Favorite Character or Interest for Cake Theme*
- Clothing size
- Please share any additional information about this child that will help us choose gifts they will enjoy. (gift budget is around $20/gift)*
- Ethnicity:*
  
  WhiteHispanic or LatinoBlackAsian Pacific IslanderAmerican Indian/Alaskan WhiteMulti EthnicUnknown
- Please upload this child's Notice to Provider*
  
  Cancelof
- Do you have additional foster children?*
  
  YesNo
- Foster child #4 Given/Legal Name (and preferred name for cake)*
  
  Last NameFirst Name (and preferred name for cake)
- Gender:*
  
  MaleFemaleOther
- Does this child have a birthday within the next 30 days?*
  
  YesNo
- Age child is turning *
- Birthdate*
  
  MonthDayYear
  (please enter the date with no dashes between month, day and year)
- Cake Flavor*
  
  CarrotChocolateCoconutConfetti/FunfettiCookies & Cream/OreoLemonMarble (Chocolate & Vanilla Swirl)No Preference (Baker's Choice)Red VelvetStrawberryTres LechesVanilla (White Cake)Vanilla (Yellow Cake)Other
- Frosting Type*
  
  Buttercream (classic frosting, creamy & smooth)Cream CheeseNo FrostingNo Preference (Baker's Choice)Whipped Cream
- Frosting Flavor*
  
  CaramelChocolateConfetti/FunfettiCookies & Cream/OreoNo Preference (Baker's Choice)Peanut ButterStrawberryVanillaOther
- Favorite Character or Interest for Cake Theme *
- Clothing size
- Please share any additional information about this child that will help us choose gifts they will enjoy. (gift budget is around $20/gift)*
- Ethnicity:*
  
  WhiteHispanic or LatinoBlackAsian Pacific IslanderAmerican Indian/Alaskan WhiteMulti EthnicUnknown
- Age Bracket*
  
  0-23-56-1213-18
- Please upload this child's Notice to Provider*
  
  Cancelof
- Do you have additional foster children?*
  
  YesNo
- Foster child #5 Given/Legal Name (and preferred name for cake)*
  
  Last NameFirst Name (and preferred name for cake)
- Gender:*
  
  MaleFemaleOther
- Does this child have a birthday within the next 30 days?*
  
  YesNo
- Age child is turning*
- Birthdate*
  
  MonthDayYear
  (please enter the date with no dashes between month, day and year)
- Cake Flavor*
  
  CarrotChocolateCoconutConfetti/FunfettiCookies & Cream/OreoLemonMarble (Chocolate & Vanilla Swirl)No Preference (Baker's Choice)Red VelvetStrawberryTres LechesVanilla (White Cake)Vanilla (Yellow Cake)Other
- Frosting Type*
  
  Buttercream (classic frosting, creamy & smooth)Cream CheeseNo FrostingNo Preference (Baker's Choice)Whipped Cream
- Frosting Flavor*
  
  CaramelChocolateConfetti/FunfettiCookies & Cream/OreoNo Preference (Baker's Choice)Peanut ButterStrawberryVanillaOther
- Favorite Character or Interest for Cake Theme*
- Clothing size
- Please share any additional information about this child that will help us choose gifts they will enjoy. (gift budget is around $20/gift)
- Ethnicity:*
  
  WhiteHispanic or LatinoBlackAsian Pacific IslanderAmerican Indian/Alaskan WhiteMulti EthnicUnknown
- Age Bracket*
  
  0-23-56-1213-18
- Please upload this child's Notice to Provider*
  
  Cancelof
- Do you have additional foster children?*
  
  YesNo
- Foster child #6 Given/Legal Name (and preferred name for cake)*
  
  Last NameFirst Name (and preferred name for cake)
- Gender:*
  
  MaleFemaleOther
- Does this child have a birthday within the next 30 days?*
  
  YesNo
- Age child is turning *
- Birthdate*
  
  MonthDayYear
  Date
- Cake Flavor*
  
  CarrotChocolateCoconutConfetti/FunfettiCookies & Cream/OreoLemonMarble (Chocolate & Vanilla Swirl)No Preference (Baker's Choice)Red VelvetStrawberryTres LechesVanilla (White Cake)Vanilla (Yellow Cake)Other
- Frosting Type*
  
  Buttercream (classic frosting, creamy & smooth)Cream CheeseNo FrostingNo Preference (Baker's Choice)Whipped Cream
- Frosting Flavor*
  
  CaramelChocolateConfetti/FunfettiCookies & Cream/OreoNo Preference (Baker's Choice)Peanut ButterStrawberryVanillaOther
- Favorite Character or Interest for Cake Theme *
- Clothing size
- Please share any additional information about this child that will help us choose gifts they will enjoy
- Ethnicity:*
  
  WhiteHispanic or LatinoBlackAsian Pacific IslanderAmerican Indian/Alaskan WhiteMulti EthnicUnknown
- Age Bracket*
  
  0-23-56-1213-18
- Please upload this child's Notice to Provider*
  
  Cancelof
- Continue with Consent
  
  Yes
- I have reviewed, understand, and agree to comply with the above terms and understand the request must be made 10 days in advance and child has to currently be in foster care*
  
  Agree
- I understand I must pick up items to be eligible for future request*
  
  Agree
- Signature*
  
  Clear
- Should be Empty:

ASA Now Foster Children's Birthday Cake Request Form