Who We Help
Who We Help
Cake Request Form
Please complete all fields below to request a cake from Cake4Kids.
If you need any help, please refer to our
Cake Request Guidelines
Child's First Name
Child's Last Name
What type of celebration is this request for?
(minimum 2 hour window -- e.g., 3-5 pm, 8-10 am, 1-4 pm, etc.
Child's Date of Birth
Due to privacy reasons, I am unable to provide the child's date of birth
(Enter age child is
on their birthday)
(Enter age of child on the delivery date)
Bars, Cookies, or Brownies
Red Velvet (no cream cheese)
***We do not supply sweets that require refrigeration such as cream cheese, whipped cream, ice cream, tres leches, cheesecake, flan, or custard
***We cannot do age-related themes (e.g., Sweet 16)
Hold Ctrl/Command button to select more than one allergy
If "Other" Food Allergies, please specify here
(e.g., Unity Care Group, DFCS)
Delivery Location -
must be an agency office!
Case Worker Name
(Full name - e.g., John Smith)
Case Worker Email
Case Worker Office Phone
(xxx) xxx-xxxx ext. xxx **Please include your extension
Case Worker Mobile Phone
Do you have any additional information or instructions for this cake?
(For event requests, please indicate quantity requested or # of attendees expected)