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2. 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.
4. Child Identification

   Female, Age 15

6. Family Number

   107

8. Shirt Size

   Small adult

10. Pants Size

    24x26 short, adult

12. Shoe Size

    6 adult

14. Needs

    Oversized hoodies, crop jackets, regular jackets, shorts with pockets, sweatpants (grey or black), sweater vest with white shirt, overall shorts, long sleeve shirts, crop shirts, high rise jeans, skirts, cute oversized cardigan, converse run star hike (black)

16. Gift of Choice/Favorites

    Fav color: dark dull purple, navy blue, black, and grey; Amazon card, chickfila card, canes card, starbucks card, target card, taiyaki fish plushie, rings, necklaces, butterfly hair clip, 72 set prismacolor pencils,

18. First Name*
19. Last Name*
21. Email Address*
22. Phone Number*
24. Address
26. City
27. State
28. Zip Code
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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit Submit and Print

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