The Birthday Bundle "Because Birthdays Matter Too!" If you are a food pantry client and would like to receive a "Birthday Bundle" for children ages 1-17 living in your home , please fill out this form.

You may choose 2 age appropriate toys/gifts from our inventory. You may also give me a wishlist of ideas for your child in the comments section below.

Parent or Guardian's Name *

Full Address *

Please provide email or phone number. *

Child's Name *

Child's Gender *

Male

Female

Age Child is Turning on their birthday: *

Child's Date of Birth * +

Are you currently a food pantry client? *

Yes

No

Eligibility for "The Birthday Bundle" is based on the below income requirements or participation in SNAP, WIC, or SSI.

This institution is an equal opportunity provider.

This table shows a gross income for each household size
Based on 200 Percent Federal Poverty Income Guidelines
Household Size	Annual	Monthly	Weekly
1	$30,120	$2,510	$579
2	$40,880	$3,407	$786
3	$51,640	$4,303	$993
4	$62,400	$5,200	$1,200
5	$73,160	$6,097	$1,407
6	$83,920	$6,993	$1,614
7	$94,680	$7,890	$1,821
8	$105,440	$8,787	$2,028
For each additional family member add	$10,760	$897	$207

Please check how you are eligible *

Income guidelines (see chart above)	SNAP	WIC
SSI

Please pick 2 age appropriate items/gifts. You may also give me a list of ideas in the comment section below.

Blocks/Building Kits/Lego

Lego Friends Donut Shop (4+) (0 remaining)	Lego Interstellar Spaceship (6+) (0 remaining)	Lego Ninjago (6+) (1 remaining)
Lego City 4x4 Off Roader (6+) (1 remaining)	Lego Disney Encanto Isabela's Flowerpot (9+) (1 remaining)	Lego Creator Red Dragon (6+) (0 remaining)
Lego Creator Vintage Motorcycle (8+) (1 remaining)	Lego Creator Magical Unicorn (7+) (0 remaining)	Lego Minions (1 remaining)

Dolls (Disney Princess, Baby Dolls, Other)

Disney Princess (Rapunzel) (2 remaining)	Disney Princess (Cinderella) (0 remaining)	Disney Princess (Ariel) (2 remaining)
Naturalistas - Kelsey (1 remaining)

Stuffed Animals

Recommended for Ages 6 months - 5 years old

Toys for Ages 3+

Teen Gifts (ages 13-16 only)

3 in 1 Wireless Charger (1 remaining)	Birthday Cake Scented Candle (1 remaining)	Bath & Body Works Candle - Fresh Sparkling Snow (1 remaining)
Rainbow Eucalyptus Candle (1 remaining)	Swan Creek Soy Wax Candle (1 remaining)	DIY Mysterious World (14+) (1 remaining)
DIY House Party (14+) (1 remaining)

Please tell me anything about your child that would be helpful for the bundle.

Choose cake mix flavor

Choose Frosting Flavor

Do you want the gifts wrapped? *

Yes, please wrap the gifts.

No, I will wrap them myself.

Stuffed Frog - Orange Feet (1 remaining)	Squishmallow Purple "Dove" (0 remaining)	Gorilla (1 remaining)
Paddington Bear (1 remaining)	Stuffed Elmo (1 remaining)	Stuffed Grover (1 remaining)
Stuffed Olaf (0 remaining)	Barbie Stuffed Doll (1 remaining)	Plush Monkey (1 remaining)
Plush Lion (1 remaining)	Wizard of Oz Plush Tinman (1 remaining)

Helmet and Bucket of Blocks (1 remaining)	Duplo Growing Carrot (2 remaining)	100 Words Book (Electronic) (0 remaining)
Walk and Woof Puppy (0 remaining)	Blue's Clues Walkie Talkies (1 remaining)	Dinosaur Magnets (2+) (1 remaining)
See & Say (ages 1-5) (0 remaining)	Tap a Tune Piano (6 months +) (1 remaining)	Racing Critters (18 months +) (1 remaining)
LullaBaby Stroller (2+) (1 remaining)	Monster Trucks (2+) (1 remaining)	Laugh & Learn Puppy (6-36 months) (1 remaining)
Lego Duplo Mickey Train (2+) (1 remaining)

Paw Patrol Rocky (1 remaining)	Minnie Fashion Doll (1 remaining)	Mega Blocks Farm (1 remaining)
Paw Patrol Marshall (0 remaining)	Drill and Learn Toolbox (1 remaining)	Mickey Bulldozer (1 remaining)
Robo T-rex (1 remaining)	Robo Alive Raptor (1 remaining)	Kidnoculars (3+) (1 remaining)
Cookie Monster Light Up Sensory Toy (3+) (1 remaining)	Paw Patrol Chase & Shark (3+) (1 remaining)	BBQ Suitcase Playset (3+) (1 remaining)
Monster Truck Playset (3+) (1 remaining)	Radio Control Police Car (3+) (1 remaining)	Pinata SmashLings (3+) (1 remaining)
Mega Bloks (1+) Blue (1 remaining)	Mega Bloks (1+) Pink (2 remaining)	Rescue Fleet w/Lights & Sounds (3+) (1 remaining)
Imaginext Dinosaur JW (3-8_ (1 remaining)	Waffle Maker (3+) (1 remaining)	Electronic Keyboard (3+) (1 remaining)

Yellow	Chocolate	White (12 remaining)	Funfetti (14 remaining)
Cherry Chip (1 remaining)

Vanilla (11 remaining)	Chocolate	Funfetti/Rainbow Chip (3 remaining)	Strawberry (2 remaining)
White (4 remaining)	Cream Cheese (0 remaining)