Cake 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 Location - must be an agency office!

Case Worker Name  (Full name - e.g., John Smith)

Case Worker Email

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)

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

***Note: we do NOT put the child's age on the treats

Child's Gender:


Preferred Dessert:

Preferred Flavor:
***Note: We do not supply sweets with cream cheese, whipped cream, ice cream, tres leches, cheesecake, flan, or custard

Preferred Color/Theme:

***Note: we cannot do age-related themes (e.g., Sweet 16)

Food Allergies:

If "Other" Food Allergies, please specify here

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