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Female, Age 10 - Family 118

  1. Due to the overwhelming support of our Make a Child Smile Event, the child you selected may have already been adopted by another family. If this is the case you will receive notification from us within 48 business hours with a similar child's information.
  2. Child Identification

    Female, Age 10

  3. Family Number


  4. Shirt Size

    Youth Medium

  5. Pants Size

    Youth Size 10-12

  6. Shoe Size

    Youth Size 5.5

  7. Needs

    clothes/shoes/skin care

  8. Gift of Choice/Favorites

    graphic tees/Hello Kitty/volleyball

  9. Leave This Blank:

  10. This field is not part of the form submission.