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Male, Age 10 - Family 130

  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

    Male, Age 10

  3. Family Number


  4. Shirt Size

    Adult Large

  5. Pants Size

    Youth large

  6. Shoe Size

    Youth Size 4

  7. Needs


  8. Gift of Choice/Favorites

    video games/soccer ball (Size 4)/Air Jordans

  9. Leave This Blank:

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