BFU Birthday Support Intake Form: AGENCY REFERRALS ONLY
The Barrie Families Unite Birthday Support Program is intended to help local low income families celebrate their children's birthdays (ages of 3 thru til 12*).

Recipient/drop off location MUST BE within Barrie city limits. If the family lives outside of city limits but are within BFU's geographic area (40 km radius from downtown), they may elect a family member or the agency itself (as long as located in Barrie city limits) to be the delivery location.

Please fill out this form well in advance of the birthday.
Our fulfillment team needs a minimum of 2 weeks notice.

*Exceptions to this age bracket will be considered, please add justifications into final question of this form.
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Email *
Name of Referral Agency *
Referral agent name *
Referral agent phone number
*
Do you have the client consent to share their information *
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