Apply for a Party | Project Surprise Party

Apply for a Project Surprise Party Birthday!

Parent First Name

First Name of Your Child

Child's DOB (Please include year)

Please enter in this form MM/DD/YYYY

Zip Code

Phone

Email

Party Kit Needed By

Must be at least 10 days from submission date. * if less then 14 days email directly meegan@projectsurpriseparty.org

PSP Partner Referral

***Due to increase in need, we are ONLY able to accept applications for birthday packages from a PSP REFERRAL PARTNER at this time***

Family Status

Single

Married

Divorced

Widowed

Household Income

Under 35,000

35,000-50,000

50,000-80,000

80,000 +

Reason for Package

Financial Hardship

Medical/Illness Related

Natural Disaster (fire, flood, tornado)

Reason for package

School District

Does your family receive free/reduced lunch?

YES

NO

Receive Medicaid

YES

NO

Receive SNAP benefits

YES

NO

Tell Us About Your Child

Favorite Author or Book Series

Cake Flavor

Vanilla

Chocolate

Marble

Food Allergies