Family Application

Child's Name *

First Name

Last Name

Have we served your family before? *

Yes

No

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Date of Celebration *

** Please note we require a full six (6) weeks notice prior to the date of celebration. Due to high volume of requests applications that are less than a full 42 days away will not be replied to.

MM

DD

YYYY

Day and Year of Child's Birth *

MM

DD

YYYY

Have your read and agree to the Family FAQ's? *

Yes

No

By submitting this, I acknowledge that my cake request is at least six (6) weeks away unless my child is hospitalized or in hospice care. *

** Please note we require a full six (6) weeks notice prior to the date of celebration. **

Yes

No

Are you requesting your dream cake? *

Yes

No

Do we have your permission to use your story and pictures when marketing our service? *

Yes

No

Be Kind *

I realize that every single person working with Icing Smiles is a volunteer. That every person is following the policies that are laid out on the FAQ pages and that I have agreed to. I agree to communicate with kindness. Mistreatment of the Icing Smiles team will result in removal from the program with no option to return in future.

Of course! 100% understand. Kindness always!

No - applications ticked no will be rejected automatically.

Feedback *

I understand that after I receive my cake a feedback form will be sent to me. I understand that if the feedback form is not filled out within two weeks of me receiving it my family will not be able to receive cakes going forward.

You got it! Feedback will be returned when asked.

No - applications ticked no will be rejected automatically.