Blankets/Sheets Request Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

What is your name?

Please provide email or phone number in the event we need to contact you

What is your child's name

How old is your child?

What address should we mail your package to?

If local in the Inland Empire/Orange County regions would you like delivery instead of mail?

Yes

Clear selection

What are you childs' favorite things/characters/colors?

Is there anything else you would like us to know about your child?

I hereby authorize Addi's Blankets of Love and its assignees on behalf of myself and on behalf of my child(ren), the irrevocable right and permission to use my/my child(ren) likeness in photograph(s) in any publications or publicity materials in perpetuity.

Yes

Clear selection

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms