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.

What type of celebration is this request for?  

Delivery Date (mm/dd/yyyy)

Delivery Window
(minimum 2 hour window -- e.g., 3-5 pm, 8-10 am, 1-4 pm, etc.)

Child's Date of Birth (mm/dd/yyyy)

  Due to privacy reasons, I am unable to provide the child's date of birth

Child's Age (Enter age child is turning on this birthday)

Child's Gender:

Preferred Dessert:

Preferred Flavor:
***We do not supply sweets that require refrigeration such as cream cheese, whipped cream, ice cream, tres leches, cheesecake, flan, or custard

Preferred Color/Theme:

***We cannot do age-related themes (e.g., Sweet 16)

Food Allergies
Select all allergies that apply. Hold Ctrl/Command button to select more than one allergy

If "Other" Food Allergies, please specify here

Delivery Location - must be an agency office!


Your Full Name / Name of Person Requesting Cake for Youth
(e.g., John Smith)

Your Email Address / Email of Person Requesting Cake for Youth

(xxx) xxx-xxxx ext. xxx  **Please include your extension

(xxx) xxx-xxxx

(For event requests, please indicate quantity requested or # of attendees expected)