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Male, Age 14 - Family 90

  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 14 

  3. Family Number


  4. Shirt Size

    Adult Medium

  5. Pants Size

    Adult 30x32

  6. Shoe Size

    Adult Size 10.5

  7. Needs


  8. Gift of Choice/Favorites

    bike/working out/video games

  9. Leave This Blank:

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