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
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)