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Female, Age 9 - Family 71

  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 9 

  3. Family Number


  4. Shirt Size

    Youth Large

  5. Pants Size

    Youth Large

  6. Shoe Size

    Youth Size 5

  7. Needs

    clothes/shoes/winter boots

  8. Gift of Choice/Favorites


  9. Leave This Blank:

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