FLBC Bored Bag Request Form

Bored Bag Request Form

Bored Bags are thoughtful care packages created specifically for children and teens experiencing CWOP (Children Without Placement). Bored Bags are made possible through donations from our generous community. Requests are fulfilled only while supplies last. Thank you for understanding!
This form is intended for use by caseworkers only. Bored Bags cannot be requested directly by foster affiliated families.
Caseworker Name*

First NameLast Name
Caseworker Email*
example@example.com
Caseworker Phone Number*
Please enter a valid phone number.
Unit Requesting*
Are you requesting for a sibling group?*

YesNo
Number of Children You're Requesting Bags For*
Number of Children in Sibling Group*
Outing passes: Select one outing for the sibling group. Each child will receive one pass for themself, and we will provide up to 2 passes for the caseworker(s).
Outing*

Movie pass - Grand AvenueWaterpark pass - Lion's Junction or Summer Fun Water ParkMuseum pass - Temple Children's MuseumEscape Room pass - Escapology Harker HeightsPlay pass - Little Sprouts Play LandPlay pass - Luv 2 Play KilleenSweet treat pass - Jeremiah's Italian IceArt pass - That Art Place Belton
Sibling 1 Name*

First NameLast Name
Sibling 1 Age*
Sibling 1 Allergies*
Sibling 1 Gender*

MaleFemale
Sibling 1 Game/Activity*

Card gameMini board gameBubbles
Sibling 1 Creative/Sensory Item*

Coloring book and crayonsJournal and pensChalkFidget toyPlay-Doh
Sibling 2 Name*

First NameLast Name
Sibling 2 Age*
Sibling 2 Allergies*
Sibling 2 Gender*

MaleFemale
Sibling 2 Game/Activity*

Card gameMini board gameBubbles
Sibling 2 Creative/Sensory Item*

Coloring book and crayonsJournal and pensChalkFidget toyPlay-Doh
Sibling 3 Name*

First NameLast Name
Sibling 3 Age*
Sibling 3 Allergies*
Sibling 3 Gender*

MaleFemale
Sibling 3 Game/Activity*

Card gameMini board gameBubbles
Sibling 3 Creative/Sensory Item*

Coloring book and crayonsJournal and pensChalkFidget toyPlay-Doh
Sibling 4 Name*

First NameLast Name
Sibling 4 Age*
Sibling 4 Allergies*
Sibling 4 Gender*

MaleFemale
Sibling 4 Game/Activity*

Card gameMini board gameBubbles
Sibling 4 Creative/Sensory Item*

Coloring book and crayonsJournal and pensChalkFidget toyPlay-Doh
Sibling 5 Name*

First NameLast Name
Sibling 5 Age*
Sibling 5 Allergies*
Sibling 5 Gender*

MaleFemale
Sibling 5 Game/Activity*

Card gameMini board gameBubbles
Sibling 5 Creative/Sensory Item*

Coloring book and crayonsJournal and pensChalkFidget toyPlay-Doh
Child's Name*

First NameLast Name
Child's Age*
Child's Gender*

MaleFemale
Any allergies?*
Outing passes: Each child will receive one pass for themself, and we will provide up to 2 passes for the caseworker(s).
Outing*

Movie pass - Grand AvenueWaterpark pass - Lion's Junction or Summer Fun Water ParkMuseum pass - Temple Children's MuseumEscape Room pass - Escapology Harker HeightsPlay pass - Little Sprouts Play LandPlay pass - Luv 2 Play KilleenSweet treat pass - Jeremiah's Italian IceArt pass - That Art Place Belton
Game/Activity*

Card gameMini board gameBubbles
Creative/Sensory Item*

Journal and pensColoring book and crayonsChalkFidget toyPlay-Doh
2nd Child's Name*

First NameLast Name
2nd Child's Age*
2nd Child's Gender*

MaleFemale
Any allergies?*
Outing*

Movie pass - Grand AvenueWaterpark pass - Lion's Junction or Summer Fun Water ParkMuseum pass - Temple Children's MuseumEscape Room pass - Escapology Harker HeightsPlay pass - Little Sprouts Play LandPlay pass - Luv 2 Play KilleenSweet treat pass - Jeremiah's Italian Ice
Game/Activity*

Card gameMini board gameBubbles
Creative/Sensory Item*

Journal and pensColoring book and crayonsChalkFidget toyPlay-Doh
3rd Child's Name*

First NameLast Name
3rd Child's Age*
3rd Child's Gender*

MaleFemale
Any allergies?*
Outing*

Movie pass - Grand AvenueWaterpark pass - Lion's Junction or Summer Fun Water ParkMuseum pass - Temple Children's MuseumEscape Room pass - Escapology Harker HeightsPlay pass - Little Sprouts Play LandPlay pass - Luv 2 Play KilleenSweet treat pass - Jeremiah's Italian Ice
Game/Activity*

Card gameMini board gameBubbles
Creative/Sensory Item*

Journal and pensColoring book and crayonsChalkFidget toyPlay-Doh
4th Child's Name*

First NameLast Name
4th Child's Age*
4th Child's Gender*

MaleFemale
Any allergies?*
Outing*

Movie pass - Grand AvenueWaterpark pass - Lion's Junction or Summer Fun Water ParkMuseum pass - Temple Children's MuseumEscape Room pass - Escapology Harker HeightsPlay pass - Little Sprouts Play LandPlay pass - Luv 2 Play KilleenSweet treat pass - Jeremiah's Italian Ice
Game/Activity*

Card gameMini board gameBubbles
Creative/Sensory Item*

Journal and pensColoring book and crayonsChalkFidget toyPlay-Doh
5th Child's Name*

First NameLast Name
5th Child's Age*
5th Child's Gender*

MaleFemale
Any allergies?*
Outing*

Movie pass - Grand AvenueWaterpark pass - Lion's Junction or Summer Fun Water ParkMuseum pass - Temple Children's MuseumEscape Room pass - Escapology Harker HeightsPlay pass - Little Sprouts Play LandPlay pass - Luv 2 Play KilleenSweet treat pass - Jeremiah's Italian Ice
Game/Activity*

Card gameMini board gameBubbles
Creative/Sensory Item*

Journal and pensColoring book and crayonsChalkFidget toyPlay-Doh
Please share any additional information or relevant details:
Kindly be aware that special requests are not guaranteed and are subject to availability.
Bored Bag Pickup Instructions

1003 N Main St, Belton, TX 76513 - You will receive a text from us when your request is ready.
Should be Empty:

Bored Bag Request Form

This form is intended for use by caseworkers only. Bored Bags cannot be requested directly by foster affiliated families.

Outing passes: Select one outing for the sibling group. Each child will receive one pass for themself, and we will provide up to 2 passes for the caseworker(s).

Outing passes: Each child will receive one pass for themself, and we will provide up to 2 passes for the caseworker(s).

Bored Bag Pickup Instructions