09/14/2026
Memaw Cakes Birthday Cake Request Application
Memaw Cakes provides homemade birthday cakes for children whose families are experiencing financial hardship. Every child deserves to feel celebrated on their birthday.
Please submit this application at least **60 calendar days before the child’s birthday**. This allows time to review the request and locate an available volunteer baker.
Submitting an application does not guarantee approval, a cake, a particular baker, or a specific design.
# # Parent or Guardian Information
**Parent/Legal Guardian’s Full Name:**
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**Email Address:**
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**Phone Number:**
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**Street Address:**
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**City, State, and ZIP Code:**
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**Preferred Method of Contact:**
☐ Phone call
☐ Text message
☐ Email
**Are you the child’s parent or legal guardian?**
☐ Yes
☐ No
If no, please explain your relationship to the child:
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# # Child’s Information
**Child’s First and Last Name:**
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**Child’s Date of Birth:**
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**Date of the Upcoming Birthday:**
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**How old will the child be?**
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**Child’s Favorite Colors:**
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**Child’s Favorite Characters, Interests, or Hobbies:**
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Character or theme requests are not guaranteed. Our volunteer bakers will try to accommodate the child’s interests when their ability, time, supplies, and available donations allow.
# # Cake Preferences
**Preferred Cake Flavor:**
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**Preferred Frosting Flavor:**
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**Number of people the cake should serve:**
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Please understand that cake flavor, size, decorations, and design depend on the assigned baker’s abilities and available supplies. Cakes are lovingly handmade and may not look like professionally decorated store-bought cakes.
# # Food Allergies and Dietary Information
**Does the child or anyone who may eat the cake have a food allergy, sensitivity, or dietary restriction?**
☐ No
☐ Yes
If yes, list every known allergy, sensitivity, or restriction and describe its severity:
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Memaw Cakes cannot guarantee that any cake will be free from allergens. Cakes may be prepared in home kitchens and on equipment that also processes milk, eggs, wheat/gluten, soy, peanuts, tree nuts, sesame, and other allergens. A request may be declined if a volunteer baker cannot safely accommodate the reported allergy or dietary restriction.
# # Description of Need
Please briefly describe the financial hardship or circumstances that led you to apply for a donated birthday cake. We do not need private financial documents or extensive personal details.
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# # Program Requirements and Acknowledgments
Please initial each statement:
_____ I understand that this application must be submitted at least **60 calendar days before the child’s birthday**.
_____ I understand that submitting an application does not guarantee approval or that a volunteer baker will be available.
_____ I understand that Memaw Cakes provides a maximum of **one donated birthday cake per eligible child in the immediate household per year**.
_____ I certify that the information in this application is truthful and complete.
_____ I understand that cakes are handmade by volunteer bakers in private home kitchens and may not be prepared in inspected commercial kitchens.
_____ I understand that character decorations, exact colors, flavors, cake sizes, and elaborate designs are not guaranteed.
_____ I agree to respond promptly when contacted. Failure to respond may result in cancellation of the request.
_____ I understand that I must pick up the cake at the time and location arranged with the assigned baker. Delivery is not guaranteed.
_____ I understand that failure to pick up the cake as arranged may make my household ineligible for future cakes.
_____ I agree to follow all refrigeration, storage, transportation, and serving instructions provided by the baker.
# # Assumption of Risk and Waiver of Liability
I confirm that I am at least 18 years old and am the child’s parent, legal guardian, or an adult authorized to submit this request.
I understand that the donated cake may be prepared in a private home kitchen where common food allergens are stored and used. Although reasonable care may be taken and known ingredients may be disclosed, Memaw Cakes and its volunteer bakers cannot guarantee that a cake is completely free from allergens, cross-contact, or other risks associated with homemade food.
I accept responsibility for deciding whether the cake is appropriate and safe for the child and other people who may consume it. I also accept responsibility for the cake after pickup, including its transportation, refrigeration, storage, handling, and serving.
To the fullest extent permitted by law, I voluntarily assume the ordinary risks associated with accepting and consuming the donated cake and agree to release and hold harmless Memaw Cakes, its organizers, coordinators, participating volunteer bakers, donors, and volunteers from claims arising from the receipt, transportation, storage, handling, or consumption of the cake, except to the extent caused by gross negligence or intentional misconduct.
I understand that this acknowledgment does not replace medical advice. If the child has a serious or life-threatening food allergy, I am responsible for determining whether accepting a homemade cake is safe.
**Parent/Guardian Agreement:**
☐ I have read, understand, and agree to the program requirements, allergy notice, assumption of risk, and waiver of liability.
**Electronic Signature – Type Full Legal Name:**
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**Date:**
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# # Privacy Notice
Information submitted through this application will be used to review the request, communicate with the family, and coordinate with an assigned volunteer baker. Necessary details may be shared with the baker fulfilling the request but will not be posted publicly without separate permission.
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