Birthday Smiles Request Form
By completing this form, you are requesting support to help provide a birthday celebration for a child during a challenging time. We understand that unexpected hardships can make it difficult to celebrate important milestones, and our goal is to help bring a moment of joy, normalcy, and care during a difficult season. Smiles After the Storm is here to support families by helping create meaningful birthday experiences when possible. While our resources are limited, we are committed to assisting as many children and families as we are able.
* All Applications Must Be Submitted 45 Days Prior To The Birthday Party Date!
Name Of Parent/Guardian
First Name
Last Name
Address
House Number
Street Address
City
Post Code
Phone Number
Email
Birthday Girl/Boy Name*
Age Birthday Girl/Boy Is Turning*
Date For The Party
-
Month
-
Day
Year
Date
Choice of theme;
Princess
Superheroes (Marvel, DC, generic hero theme)
Pirates & Treasure
Dinosaurs
Astronauts
Galaxy
Unicorns
Mermaid
Animals
Paw Patrol
Spongebob
Peppa Pig
Toy Story
Frozen
Star Wars
Cars
Spriderman
Other
How Would You Like The Party Thrown?
Party Box, I will throw it myself
Please provide the party experience for me
Number of children attending?
Age Range of guests participating
Party Guests?
Please Select
All Girls
All Boys
A Mix
Parking Restrictions
No Restrictions
Driveway
Pay & Display Street Parking
Other
Are you currently on any type of MA assistance? (please select, all that apply)
SNAP - Food Stamps
WIC
Local Housing or section 8
TAFDC (cash support for families with children)
Other
Please provide details of why you are seeking assistance for a birthday party
Donation Inquiry Disclaimer
By submitting this form, you acknowledge that this is a request for information only and does not constitute a commitment or obligation to donate. Submission of this form does not guarantee acceptance, solicitation, or receipt of a donation.All donations are voluntary, subject to availability, and may be declined at the organization’s discretion. Information provided will be used solely for the purpose of responding to your inquiry and will not be shared or sold to third parties.
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