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, and 2 books per child if you see something in our inventory that they would like. (It is mostly books for younger kids that we have right now)

You may put in a request 3 months in advance of the upcoming birthday to allow time to get everything together. You will be notified by email or phone when the bundle is ready for pickup.

Parent or Guardian's Name *

Full Address *

Please provide email address *

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

Click on each category of gifts and scroll down to see Inventory. Please pick 2 age appropriate items/gifts. You can also choose 2 books from our inventory in addition to the 2 other gifts. (Currently books are for younger kids)

Barbies

Bath Sets

Hello Kitty Bath Set
(1 remaining)

Blocks/Building Kits/Lego

Lego Friends Donut Shop (4+) (1 remaining)	Lego Interstellar Spaceship (6+) (1 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+) (1 remaining)
Lego Creator Vintage Motorcycle (8+) (1 remaining)	Lego Creator Magical Unicorn (7+) (0 remaining)	Lego Minions (1 remaining)

Books/DVD (Please choose 2 books)

Board Book - Hello World - My Body
(1 remaining)

My Dad is a Tree
(1 remaining)

Cars/Hotwheels/Matchbox/Trucks

Matchbox Rally II
(1 remaining)

Hot Wheels Getaways
(1 remaining)

Hot Wheels 3 (Silver, Gray, and White)
(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)

Games (All ages) Age range is in parenthesis beside item

Sorry! (6+)
(2 remaining)

Candy Land (3+)
(2 remaining)

Jewelry Boxes

Jewelry Box Pink with Birds
(1 remaining)

Outdoor Toys

Nerf Sharkfire (6+) (1 remaining)	Size 3 Mickey Mouse Soccer Ball (3+) (1 remaining)	Easy Catch Ball & Glove (3+) (1 remaining)
Dinosaur Sidewalk Chalk Set (1 remaining)	Official Size Franklin Football (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.

Barbie, Blue Dress with Flowers, Brunette (1 remaining)	Barbie, Babysitter, Skipper, Bathtub (1 remaining)	Barbie, Swimsuit Blue with Flowers, Hawaii (1 remaining)
Barbie, Pink Ballerina, Blonde (1 remaining)	Barbie, Pink Plaid Dress with Black Bow, Black Hair (1 remaining)	Barbie, Blonde, Pink Suit black-white checks (1 remaining)
Chic Barbie, Flower print dress (1 remaining)	Pretty Hearts Barbie (1 remaining)	Barbie, Brunette, Red Dress with Bow on Shoulder (1 remaining)
Barbie - Rhythmic Gymnast (1 remaining)

Stuffed Frog - Orange Feet (1 remaining)	Squishmallow Purple "Dove" (1 remaining)	Gorilla (1 remaining)
Paddington Bear (1 remaining)	Stuffed Elmo (1 remaining)	Stuffed Grover (1 remaining)
Stuffed Olaf (1 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) (1 remaining)
Walk and Woof Puppy (1 remaining)	Blue's Clues Walkie Talkies (1 remaining)	Dinosaur Magnets (2+) (1 remaining)
See & Say (ages 1-5) (1 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)	Elmo 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 (22 remaining)
Cherry Chip (1 remaining)

Vanilla (12 remaining)	Chocolate	Funfetti/Rainbow Chip (10 remaining)	Strawberry (3 remaining)
White (4 remaining)	Cream Cheese (1 remaining)