BIRTHDAY CAKE ASSISTANCE
If you have a child who has a birthday in November and you cannot afford a cake, please complete the form below and let us help you! **PICKUP WILL BE AT HOPE CITY CHURCH - 1784 US-27 WHITLEY CITY, KY**
Name
*
Cell Phone Number
*
One of our Coordinators will text you from our Outreach number. (859)412-1045
Date of the request
*
-
Month
-
Day
Year
Date
Date Cake Kit is needed by:
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2020
2019
2018
2017
Year
Pickup Date Preference
*
Pickup Time Preference
*
Hour Minutes
AM
PM
AM/PM Option
Child's Name / Birthday
*
Child's Name / Birthday
Child's Gender
*
Please Select
Boy
Girl
Additional Info
Submit
Should be Empty: