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 14 days from submission date. * if less then 14 days email directly meegan@projectsurpriseparty.org

PSP Partner Referral

We only fulfill birthday packages from a PSP Referral Partner at this time to ensure all party package are going to kids in need. If you are coming to us from an outside source choose the option. REFERRAL PARTNER NOT IN LIST and we will follow up with you to get more information about your need and how you heard about PSP.

If referral was not in the list. Please include their information here so we can verify the source of the request.

Family Status

Single

Married

Divorced

Widowed

Household Income

Under 35,000

35,000-50,000

50,000-80,000

80,000 +

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

Apply for a Project Surprise Party Birthday!

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