Birthday Request – Children's Guardian Fund

Guardian ad Litem request for Birthday Gift Card from the Children's Guardian Fund

While the Safe Children Coalition on behalf of the state provides daily needs for children in dependency, the Children's Guardian Fund may provide funding assistance for enrichment items.

Please complete this form up to two month prior to the child's birthday. The Children's Guardian Fund does not accept late birthday requests.

GAL Name:*
Guardian ad Litem CAM:*
Child's name:*
Child's DOB:*
Placement zip code:*
Your email address:*
Placement (foster care, relative, non-relative, shelter, group home, other).*
GAL name and complete mailing address: [This is pasted to your mailing label]*
Please allow two weeks to process your request. This request will be forwarded to your CAM for approval.