• CHILD LIFE SPECIAL REQUEST •

Each hospital is allowed 10 special Custom requests per year

We require a minimum 10 days’ notice to assure our box will get to the recipient in a timely manner. All boxes ship from our headquarters in Rhode Island.

Requests CAN NOT be placed for more than 30 days before the birthday.

Child's First Name

*name will NOT appear in the shipping address only on the outside of the actual Birthday Box and will NOT be shared publically

Child's age they are turning

Child's Birthday

YYYY

Desired Birthday Theme

Gender of Child

Which US hospital/facility are they admitted at?

The hospital/clinic mailing address

*Location can ONLY be a United States hospital/clinic/Hospice facility

Your Name

First Name

Last Name

Your Email

Share with us any details about this special birthday child that you would like for us to consider when packing their custom box!

Send me a Birthday box!

Filling out this form, I am aware I need 10 days BEFORE the child's birthday to get a custom box. (and not more than 30 days before the birthday) Also that I can only request 10 special birthday boxes per year.

Yes! I understand I need 10 days to receive a custom birthday box from The Confetti Foundation

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