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Sunshine Family Form
Contact Information
Child's Name
*
First Name
Last Name
Child's Birthday
*
(mm/dd/yyyy)
Child's Gender
*
select one
Male
Female
Child's Clothing Sizes (Shirt and Pants)
*
What are your child's hobbies, interests, favorite things. (sports team, cartoon character, tv show, books, games, music, etc)
*
What are your child's favorite snacks?
*
List any food allergies/limitations in your home that we need to be aware of
*
Describe your child's medical condition
*
Parent's Name
*
First Name
Last Name
Parent's Email Address
*
Verify Email
*
Parent's Phone Number
*
Which parent is applying?
*
select one
Mother
Father
Step-mother
Step-father
Legal Guardian
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
How did you hear about Spreading Sunshine?
*
select one
Friend
Family member
Facebook
Instagram
Website
Hospital
Community Event
Other
Photo Permission
*
I give Spreading Sunshine permission to use my child's photo and first name only on their website and social media accounts.
Yes
No