Birthday Party Request Form

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!
PLEASE MAKE SURE TO FILL OUT THIS ENTIRE FORM AND BE AS DETAILED AS POSSIBLE IN YOUR ANSWERS. IF APPROVED, THE MORE DETAILS WE HAVE THE BETTER WE CAN HELP YOU AND YOUR FAMILY!
Name Of Parent/Guardian

First NameLast Name
Address

House Number

Street Address

City

Post Code
Phone Number
Format: (000) 000-0000.
Email
Birthday Girl/Boy Name*
Age Birthday Girl/Boy Is Turning*
Date For The Party

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Choice of theme;

Other
How Would You Like The Party Thrown?
Number of children attending?
Age Range of guests participating
Party Guests?
Parking Restrictions

Other
Are you currently on any type of MA assistance? (please select, all that apply)

Other
Please provide details of why you are seeking assistance for a birthday party
Applicant Certification & Acknowledgment

By checking the box below and submitting this application, I certify that all information I have provided to Smiles After the Storm, Inc. is true, accurate, and complete to the best of my knowledge. I understand that providing false, misleading, or incomplete information may result in my request for assistance being denied or, if assistance has already been approved, withdrawn.I understand that submitting this application does not guarantee approval or assistance. All requests are reviewed based on individual circumstances, available resources, and the guidelines of Smiles After the Storm, Inc.I have read and agree to the above statement and certify that the information provided in this application is true and accurate to the best of my knowledge.
Signature
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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Birthday Smiles Request Form

* All Applications Must Be Submitted 45 Days Prior To The Birthday Party Date!

Donation Inquiry Disclaimer