2026 Macy's $100 Clothing Shopping Spree
Macy’s at the Merritt Square Mall
Date
*
-
Month
-
Day
Year
Date
Your Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Name of your Child Advocate Manager (CAM)
*
Child's Name
*
First Name
Last Name
Child's Age
*
Please Select
6
7
8
9
10
11
12
13
14
15
16
17
18
Other (please explain in comments
Child's Gender
*
Please Select
Male
Female
Other
Prefer not to respond
Child's Placement Type
*
Please Select
Relative
Non-Relative (family friend, teacher, etc.)
Level 1 Foster
Foster Levels 2 and above CAN NOT participate
Children in Group Homes CAN NOT participate
Other (please explain in comments)
Is Caregiver or Guardian ad Litem able to transport and stay with the child on the morning of Saturday July 26?
*
Please Select
Yes, Caregiver
Yes, GAL
No (Please note: child MUST have transportation and be supervised by either the caregiver or GAL)
Other (Please explain in comments)
If Caregiver is transporting, please provide Caregiver's name and contact phone number:
Any information we should know about the child or their situation?
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