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Female, Age 12 - Family 53

  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

    Adult 14-16

  5. Pants Size

    Adult 14Y; 1-3 Jr

  6. Shoe Size

    Adult Size 7

  7. Needs

    clothes/shoes/hygiene kits

  8. Gift of Choice/Favorites

    Roblox/arts/crafts/caring for animals

  9. Leave This Blank:

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