Enrichment Any foster child under the age of 24 in out-of-home care (foster care, relative care, non-relative care, and group homes) or in EFC/PESS residing in or managed from Orange, Osceola, or Seminole County is eligible to receive funds. Funds may be used for athletics, educational and social opportunities. Acceptable requests include participation on a sports team, taking dance or music classes, enrollment in a martial arts program, attending school field trips or dances, driving lessons, purchasing textbooks, and apartment assistance for transitioning youth. Each child may receive two one-time requests and two on-going request, up to three months, each year. At this time, we are only able to fund one ongoing activity per child. This does not include requests for field trips, sports equipment or other items/activities that only occur one time. For requests for summer camp and tutoring, please do not use this form. Approvals are dependent on funding. FFC reserves the right to modify services and policies, at any time. As a policy, we do not reimburse. Processing usually takes 10-15 business days. Submitter Name* First Last Submitter Phone Number*Submitter Email* Relation to Child*GuardianDependency Case ManagerGALSelfOtherIf other, please specify.*Child's InformationChild's Name* First Last Date of Birth* Date Format: MM slash DD slash YYYY Is the youth 18 or older?*YesNoDoes the youth have children?*YesNoGender*FemaleMaleEthnicity*African-AmericanAsian-AmericanCaucasianHispanic-LatinoMulti-EthnicParental Rights Terminated*YesNoNot SurePlacement*Foster HomeGroup HomeRelative (Not Bio Parent)Non-Relative ParentOtherGroup Home Name*Grade*DaycarePre-KK123456789101112GEDCollegeNot Enrolled in SchoolSchool Currently Attending*Student ID #Is the youth case closed?*YesNoIs this case OTI or ICPC?*OTIICPCNeitherChild will send a "thank you" card/letter within 2 weeks of receiving services.* Yes Activity InformationActivity*AthleticsArts & MusicEducational Tools/ResourcesHousingNormalcyTransportationCelebration ClubAthleticsBaseballBasketballFootballGymnasticsKarateMartial ArtsSoccerSwimArts & MusicArt LessonsDance LessonsMusic LessonsMusical TheaterVocal LessonsOtherEducational Tools/ResourcesComputerTextbooksGED Test and/or PrepOtherHousingApartment Security DepositApartment Utility DepositHousewarming BasketEmergency AssistanceNormalcyProm/Homecoming AssistanceSchool PicturesSchool YearbookSchool UniformCap & GownField TripOtherTransportationTransportation AssistancePlease describe the current need and character of the child, including how this activity would benefit them.*Cost of Activity*Is the youth registered for this activity?*YesNoActivity Provider Name*Activity Provider Phone*Activity Provider Email* Activity Provider Website Activity Provider Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Please attach all documents relevant to this request.What birthday is the child/youth celebrating?*16th or younger17th or olderIs a cake being requested?*YesNoPlease provide the name that you would like to be on the cake for the youth.Does the child have any food allergies?*YesNoIf yes, please explain what type of food allergy that the youth has.*Type of Cake*VanillaChocolateRed VelvetCookie N' CreamType of Icing*VanillaChocolatePlease 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.*Has the child mentioned a certain vision or desire for their celebration?*Number of people celebrating*2-910-19Is a gift being requested?*YesNoChild's Favorite Color*Please describe the child's interests and why a cake and/or gift cannot be provided by the caregiver.*Date to pick-up cake and/or gift from the Foundation office:* Date Format: MM slash DD slash YYYY Caregiver InformationCaregiver Name* First Last Caregiver Phone*Caregiver Email* Address where child resides:* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Case Manager/IL Specialist InformationCase Manager Name* First Last Case Manager Phone*Case Manager Email* Case Management Agency*Case Management County*Supervisor Name First Last Supervisor PhoneSupervisor Email Photo/Testimonial ReleaseFoundation for Foster Children Photo/Testimony Release Provides the Foundation for Foster Children (FFC) with permission to use photographs or testimony provided in FFC marketing materials including, but not limited to, the website and print materials of FFC. Testimony Consent*I am willing to share our story and/or feedback.I do not wish to share.Photo Consent*I do give consent.I don't give consent.Testimony Consent Statement* By signing below, I hereby give the Foundation for Foster Children (FFC) permission to contact me and use an approved story in FFC marketing materials including, but not limited to, the website and print materials of FFC. I understand that I will not receive compensation for the use of this likeness in any form. Photo Consent Statement* By signing below, I hereby give the Foundation for Foster Children (FFC) permission to use my photograph in FFC marketing materials including, but not limited to, the website and print materials of FFC. I understand that I will not receive compensation for the use of this likeness in any form. Electronic Signature*Consent for Release of Information* I approve the release of the confidential information provided in this referral to FFC and its funding agencies, including but not limited to, Orange County Commission for Children.