Request a Birthday in a Box for a child who is hospitalized on their birthday
(US hospitals only)

*We require a minimum 7 business days’ notice to assure our box will get to the recipient in a timely manner. All boxes ship from our headquarters in Rhode Island. If your hospital already participates with our program, please connect with your Child Life Specialist first, they have boxes on hand! A list of participating hospitals can be found here!

Child's Name *
Child's Name
Child's Birthday *
Child's Birthday
*Location can ONLY be a United States hospital/clinic/Hospice facility
Your Name *
Your Name

Once form is reviewed, we will email you with any further questions and shipping details.