Pay It Forward NH Birthday Club
At Pay It Forward New Hampshire (PIFNH), we believe every child deserves to feel special on their birthday. If you are a Merrimack, NH family facing financial hardship, PIFNH can help make your child’s birthday a little brighter by providing 3-4 age-appropriate gifts based on your child’s interests and item availability. All information submitted through this form will remain confidential and will only be shared with the PIFNH volunteers involved in the program. At this time, children who are turning 14 and under are eligible to participate. The child (or their parent/guardian) must be a Merrimack resident. Your contact information will only be used by A PIFNH team member to coordinate gift hand-off. Please note that gift exchanges are not available. To allow adequate time to prepare birthday gifts, please submit requests at least 2 weeks in advance. * Due to limited resources, at this time we are only able to serve Merrimack, NH families. If you live outside of Merrimack, please contact us directly for referrals to other assistance programs in your area.
Parent/Guardian Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please tell us who lives in Merrimack, NH
*
Both child and parent/guardian
Child
Parent/guardian
Child's Name
*
First Name
Last Name
Child's Birthday Month
*
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Month
Day
*
Please Select
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
How old is the child turning on their next birthday?
*
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Age
Child's Gender (optional)
Girl
Boy
Non-binary/Other
Prefer not to say
What are your child's interests? (Select up to 3)
*
Arts & Crafts
Sports & Outdoor Activities
Books & Reading
Building & Construction Toys
Music & Dance
Video Games
STEM/Science Kits
Dolls & Action Figures
Board Games & Puzzles
Cars/Trucks
Legos
Is there anything else you would like to share about your child to help us make their birthday special? (optional)
How did you hear about the PIFNH Birthday Club?
Facebook Post
Merrimack School District
Friend/Family
Other
Submit
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