Birthday Bundle Request Form

Birthday Bundle Request Form
PLEASE FILL OUT 1 form PER child. Only fill out the form **NO MORE THAN ONE MONTH** to the actual birth date. Birthdays can take up to one week to process and must be picked up within 7 days of completion notice.
PLEASE NOTE:

We are located in ERIE, PA. We serve the Erie County Area. ALL items requested MUST be picked up in our Erie, PA locations.
Adult Name

First NameLast Name
Adult Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Adult Phone Number
Format: (000) 000-0000.
Adult E-mail
example@example.com
How would you like to receive further communication
Pickup Location Preference
How did you hear about us?
Please tell us more

Adult Pickup Contact

First NameLast Name
Child Name
First Name
Child Name

First NameLast Name
Child Birth Date

MonthDayYear
Date
Child CURRENT age
Child Zip Code
Child Gender
Child Race (White, Asian, Hispanic, etc)
Does your child have any special needs
NO Food or Gift Cards will be given.
Special Likes/Interests (Examples: Special Needs, Cars, Dinosaurs, characters, Barbie, 18" dolls or baby dolls, artistic hobby, etc.) We TRY to include items on their wish list, but it is NOT guaranteed. We can only gift what is donated or sponsored. The more general you are, the more likely we will be able to find an item to fit the request.

I understand that I MUST pick up my items within 7 days or they will be restocked and I can not reapply for said child until the following year. I understand that I may receive misfits (gently used items) in the bundle. I agree that am in need of this birthday bundle and that the items given are free of charge. I will not resell anything included in the bundle and if I choose not to keep something it may be given away for free or returned to ToyBox for further use. PLEASE INITIAL HERE IN AGREEMENT
INITIAL HERE
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