Enroll a Child

Help us find kids to celebrate!

The birthday children that we celebrate are between the ages of 5 to 12.

We will provide the child with a Birthday Celebration that includes a gift that is something the child needs, and a gift that is something that the child wants for fun! The birthday box has plates and napkins, cake mix and frosting and everything needed to host a birthday celebration.

Enroll a Child for a Birthday Celebration:
(Please note that all fields below are required.)
Your First Name
Your Last Name
Phone
Email
Addresss
City
State
Zipcode
First Name (Birthday Child)
Last Name (Birthday Child)
Birthday Date
Child's current age:
(we celebrate 5th-12th birthdays)
Gender:
Income Qualified?
I certify that this child is living below the poverty line and in need of assistance.