2024 Birthday Club

Friends of Children Birthday Club
Name of Child*

First NameLast Name
Ensure the accuracy of your request by putting the child's date of birth on the form, not their birthday. Also, provide the age that the child is on their current birthday. This is crucial for children turning 13, as they will receive a higher amount gift card.
Child's date of birth (not birthday)*

MonthDayYear
Date
Child's age on this birthday*
Who is your CAM?*
Gift Card Requested*

Target Gift CardWalmart Gift CardVisa Gift Card (ONLY FOR AGES 13+)
How would you like to receive the Gift Card? (We do not mail gift cards to caregivers unless there are exceptional circumstances.)*

Have Gift Card mailed to my houseMail to the Guardian ad Litem Office
Name of Guardian ad Litem*

First NameLast Name
Guardian ad Litem email:*
Guardian ad Litem Phone Number*

Area CodePhone Number
Mailing Address for Guardian ad Litem *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Friends of Children Board Member Marilza Novaes-Card is handling the processing of all $25.00 gift cards, while Susan Weeks will process the $50.00 gift cards. If you have questions you can contact them at mail@friendsofchildrenofbrevard.org

By clicking the Submit Button below,

I understand by accepting Friends' funds, funds may only be used for the purpose intended.
Request Approved?

ApprovedDenied
Date Gift Card Mailed or Dropped Off at office
Gift Card Number
If Denied, reason for denial
If Denied, date VGAL notified.
Notes
Should be Empty:

Friends of Children Birthday Club