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Female, Age 12 - Family 39

  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 12 

  3. Family Number


  4. Shirt Size

    Youth Large

  5. Pants Size

    Jr Size 4

  6. Shoe Size

    Adult Size 9

  7. Needs


  8. Gift of Choice/Favorites

    drawing/riding bikes/pink

  9. Leave This Blank:

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