Birthday submission

Submit a birthday

Share a little about the child so we can plan a celebration that actually fits them. Fields marked required help us follow up; everything else is optional.

Read how it works first

Parent or legal guardian

Full name (required)

Email address (required)

Phone number (required)

About the birthday child

Child's first name (required)

Age the child is turning (required)

Birthday date (required)

City (required)

State (required)

Does the child have special needs? If so, what would help us include them well? (optional)

This question is optional. Share only what you're comfortable sharing.

Tell us about the birthday child (optional)

Favorite colors (optional)

Favorite characters, interests, or activities (optional)

Clothing size (optional)

Shoe size (optional)

Dietary restrictions or allergies (optional)

Amazon wish list link (optional)

Paste the full link, starting with https://

A few last questions

Has the child participated in Birthday Village before? (required)

How did you hear about Birthday Village? (optional)

Photo and media consent (required)

May Birthday Village photograph your child and share approved images publicly?

Yes, I give photo and media consent

No, please do not share photos of my child

I consent to being contacted by Birthday Village about this submission. (required)

I understand that submitting this form does not guarantee selection or sponsorship. (required)

Privacy: A child's personal information will never be publicly displayed without consent. Submissions are stored securely and reviewed only by Birthday Village staff.