Submitter Name *
Relation to Child * Guardian Case Manager GAL Self Other Child's Information Child's Name *
Does the youth have children? * Gender * Ethnicity * Placement * Address where child resides:
* Residing County * Grade * Daycare Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12 GED College Not Enrolled in School Is the youth case closed? * Child Welfare Team Is the youth case managed by an state agency/case manager or by a community organization? Case Manager information Case Manager Name *
Community Organization Contact Name *
Primary Contact Information
Caregiver, mentor, family member, etc.
Primary Contact Name *
The Foundation for Foster Children has partnered with our friends at Four Rivers to provide beautiful birthday cakes to celebrate our foster youth on their birthday. We ask for at least one week notice.
What birthday is the child/youth celebrating? * 16th or younger 17th or older Does the child have any food allergies? * Yes No Unfortunately, at this time we are unable to accommodate food allergies through our Celebration Club partnership with 4 Rivers. If you would still like assistance with your youth's birthday cake, we can offer a $25 Visa gift card to assist with purchasing a food allergy friendly cake. * Type of Cake * Type of Icing * Number of people celebrating * 2-9 10-19 Please provide an idea of how the child would like the cake decorated with a theme or favorite character, and we will try our best to accommodate. * Do you have an example or picture of what you would like this cake to look like? Awesome! Please attach here Media/Photo Consent Form and Testimonies
This consent and release form grants permission to Foundation for Foster Children for the use of testimonies, photograph(s) or electronic media images. Images will be stored in a secure location and only authorized staff will have access to them. They will be kept as long as they are relevant and after that time archived.
Media/Photo/Testimonies consent forms and release will expire may 1st of 2024, unless:
*Child turns 18, new consent form will be required
*Change in placement for children under 18, new consent form will be required with current legal guardian signature.
*Legal guardian/child/young adult choices to withdraw their consent for any reasons.
Photo and Testimony Consent * Media/Photo Consent Form and Testimonies * Consent for Release of Information * Rights and Responsibilities Have you completed the FFC Rights and Responsibilities form? *