Miracle Treat Day Blizzard Pre-Order
Miracle Treat Day is Thursday, July 27th!

Use this form to pre-order Blizzard treats and $1 from each Blizzard will be donated to UVA Children's Hospital!

A confirmation email will be sent along with an order summary after you submit the form.

Thank you in advance for your support of UVA Children's Hospital!
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DQ Location *
Contact Name: *
Contact Email: *
Confirm Contact Email: *
Contact Phone Number: *
Requested Pickup Date *
Requested Pickup Time *
Pre-Paid Blizzard Cards
These are great options for employees, friends, family and co-workers that aren't around on Miracle Treat Day! A Pre-Paid Blizzard Card can be redeemed at any of our locations for a Small Blizzard Treat (and there is no expiration date!)
Pre Paid Blizzard Cards *
Blizzards
Oreo *
M&M *
Reese's Peanut Butter Cup *
Cookie Dough *
Butterfinger *
Additional Monetary Donation:
We are so thankful for all the community support for UVA Children's Hospital and Children's Miracle Network- if you choose to make a monetary donation please fill out the space below
Additional Monetary Donation:
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