This form is for requesting assistance, a birthday cake OR registering to volunteer. Please include as much information as possible.

If you are in need of assistance with rent or utilities please check out the LINKS page first. You will find several resources there that can assist you.

**The following information must be included in comment section of your submission for a birthday cake:

1. Parent, Legal Guardian, Organization Name?
2. How did you hear about this program?
3. Child's Name
4. Child's Date of Birth including year born.
5 Any Food Allergies or Health Issues?
6. Cake Theme or Character
7. Detailed explanation relating to your circumstances, and why you should be considered for the program.
8. Party Date

Upon receipt of your original request, you will be contacted by a staff member. If contact cannot be made within 24 hours of your request, your submission will be removed. There will be no exceptions. Recipients must make arrangements to pick up their cake. We do not deliver.