Cake4Kids Cake Recipient Request Form

Please fill out all information to request a cake from Cake4Kids. If you need any help with completing this form, please refer to our Cake Request Guidelines.



























Delivery Date (mm/dd/yyyy) e.g. 05/25/2017. Incorrect format will not be processed:


Cake Delivery Time (minimum of 2 hours, e.g. 3-5 pm):


Case Worker Name:


Agency Contact Email:


Child Date of Birth (mm/dd/yyyy) e.g. 05/25/2010. Incorrect format will not be processed:


Age of Child:


Gender:

Occasion:

Preferred Dessert:

Preferred Flavor:
***Note: We do not supply Ice Cream cakes or Fresh Cream Frosting.

Preferred Color/Theme:


Food Allergies:

If other, please specify: