2023/2024 Birthday Celebration Request Form

2023/2024 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.

🎉 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.

🎁 For New Placements: If you receive a new placement, and our monthly social has already passed, we're still here to help. We'll provide birthday presents along with a birthday kit in a bag for caregivers to bake the cake at home. Custom cakes are only available during our monthly family social.

Here's what we offer:

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

🎁 Educational Birthday Present

🎈 Fun Present

📚 Book

🦸‍♂️ Costume (for children)

🧸 Stuffed Animal

🧣 Blanket

💳 Gift Card for Teens

🎓 Graduation Celebrations: We're not just about birthdays. If your foster youth is graduating from high school, we'll also provide a custom cake and gifts to celebrate their achievement.

If you would like to request a graduation cake for a 2023 high school graduate, please use this form: Graduation Cake Request Form

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

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

Let's make birthdays and graduations a time of joy and celebration for all children and youth in foster care. Submit your request today!

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*

Browse Files

Cancelof
Cell Phone Number (for text message reminders)*

Area CodePhone Number
E-mail*
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 childs birthday at?*
What upcoming family Social will we be celebrating your child's birthday at? Gifts will be provided during the event. Please make sure your family is registered for the event.*

New Placement after the monthly social10/20/23 Trunk or Treat11/18/23 - Movie Night12/2/23 - Christmas event1/13/24 - Family Bingo NightOptional: Group Home w/ youth wishing to be celebrated during our monthly life skills.
These requests are only for FOSTER CHILDREN. 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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2023/2024 Foster Children's Birthday Cake Request Form