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 DURING OUR MONTHLY BIRTHDAY CELEBRATION. WE WILL SING HAPPY BIRTHDAY AND CHILDREN WILL OPEN A FEW GIFTS FROM ASA NOW.

CHILD MUST BE IN ATTENDANCE TO RECEIVE CAKE AND GIFTS

A LOT OF VOLUNTEER HOURS AND DONATIONS ARE USED TO PROVIDE YOUR CHILD WITH THIS GIFT. IF YOU ARE NOT ABLE TO ATTEND OR NEED TO CANCEL PLEASE LET US KNOW ASAP.

🎉 Monthly Celebrations: Each month, we host a special social event to celebrate every child in foster care with an upcoming birthday in that month. We invite you to submit a request for a custom cake and carefully selected presents to be provided during the event. To help us plan, a courtesy ten-day notice is greatly appreciated.

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 will receive a store bought birthday cake in lieu of a custom cake at the party.

Here's what we offer:

🍰 Custom Cake (with a 10-day notice) or 🎉 Birthday in a Bag Kit

🎁 Educational Gift

🎈 Fun Gift

📚 Book

🦸‍♂️ Costume (for children)

🧸 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
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)*
What upcoming family Social will we be celebrating your child's birthday at? **Reminder that child needs to be in attendance. During the monthly social we will sing happy birthday to your child and they will be able to open a few gifts from ASA Now. This is not meant as a pick up birthday request.** If you are looking to just pick up a cake and gifts to celebrate at home please reach out to Helens Hope Chest or Foster Alliance. Please make sure your family is registered for the event. Request can be made 30 days in advance*

Monthly Life skills. 1st Saturday of Every Month. Teens 14- 18October 10/18/25 Fall Festival 5:30pmNovember 11/17/25 - November Family SocialDecember 12/6/25 Christmas EventDecember 12/28/25 New Years Jump Party
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

Click Here to Consent
By submitting this request and/or attending this event, you consent to interview(s), photography, audio recording, video recording and its/their release, publication, exhibition, or reproduction to be used for news, web casts, promotional purposes, telecasts, advertising, inclusion on websites, social media, or any other purpose by ASA Now. Images, photos, and/or videos may be used to promote similar ASA Now events in the future, highlight the event and exhibit the capabilities of ASA Now. You release ASA Now, its officers and employees , and all persons involved from any liability connected with the taking, recording, digitalizing, or publication and use of interviews, photographs, computer images, video and/or sound recordings. By entering the event premises, you waive all rights you may have to any claims for payment or royalties in connection with any use, exhibition, streaming, web casting, televising, or other publication of these materials, regardless of the purpose or sponsoring of such use, exhibiting, broadcasting, web casting, or other publication irrespective of whether a fee for admission or sponsorship is charged. You also waive any right to inspect or approve any photo, video, or audio recording taken by ASA Now or the person or entity designated to do so by ASA Now. You have been fully informed of your consent, waiver of liability, and release before entering the event.
I have reviewed, understand, and agree to comply with the above terms*

Agree
Liability Release - I do hereby release ASA Now, Jacobs Mission Community Center, their agents, employees, personal representatives, affiliates, and any and all persons, firms or corporations liable or who might be claimed to be liable, whether or not herein named, from any and all claims, demands, damages, actions, causes of action or suits of any kind or nature whatsoever, arising out of or in any way relating to injuries and damages, as a result of being present on Jacobs Mission Community Center property. I recognize that there may be inherent risks associated with attending this event. You have been fully informed of your consent, waiver of liability, and release before entering the event.
I have reviewed, understand, and agree to comply with the above terms*

Agree
Signature*

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ASA Now Foster Children's Birthday Cake Request Form