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Male, Age 13 - Family 83

  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 13

  3. Family Number


  4. Shirt Size

    Youth Medium

  5. Pants Size

    Adult 34x30

  6. Shoe Size

    Adult Size 7W

  7. Needs

    shoes/clothes/soccer shoes

  8. Gift of Choice/Favorites


  9. Leave This Blank:

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