Cake For Kids

Name

This field is for validation purposes and should be left unchanged.

Advocate Name*

Advocate Email*

Advocate Phone

Case Name/Number*

What event is being celebrated?

Youth's Name*

Youth's Date of Birth*

Gender

Male
Female
Gender Neutral

Preferred Dessert

Cake
Cupcakes
Cookies
Brownies
Bars
Baker's choice of bars, cookies, or brownies

Preferred Flavor

Preferred Theme and Colors

Please let us know what other details you think would be great in terms of colors, themes, etc. We cannot do age-related themes (like sweet 16) and we cannot to anything requiring refrigeration like cream cheese frosting, tres leches, cheesecake, flan, etc.)

Please type out what celebratory message should be included (do not include youth's name)*

I acknowledge that all baked goods are prepared in home kitchens and not in certified allergen-free facilities.

Check to acknowledge

Food Allergies (check all that apply)

None/No Allergies
Nut/Coconut-free
Gluten/Wheat-free
Lactose/Dairy-free
Sugar-free
Egg-free
Vegan
Other Allergy

If Other Allergy Selected, write other allergy here.

Delivery date dessert is needed by (All desserts will be delivered to CASA's front desk and a designated CASA or family needs to be available to pick up that day by close of business (5 pm):

Please select one of these pick-up windows for your delivery date

between 8 AM and 12 PM
between 12 PM and 5 PM

Cake For Kids

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