Gift Request

GGF Gift Request Form

IMPORTANT: ONLY CHILDREN AND FAMILIES BASED IN LOUISIANA ARE ELIGIBLE TO RECEIVE GIFT REQUESTS.

GGF Gift Request Form

Your Name:

Your Email:

Your Phone:

Your Street Address:

Your City:

Your State:

Name of Child with Special Needs

Name of Parent of Guardian

What is the child's disability?

How would you describe the child's situation?

What is the Gift being requested?

How will this Gift improve the child's quality of life?

Is it okay for Grant's Gift Foundation to contact the child's family directly?

Yes

Will you have the ability to attend a gift giving ceremony in Covington, LA (you will be involved with picking a date)?

As a parent or guardian, I hereby consent to the use of photographs/videotape of the minor for publicity, promotional and/or educational purposes (including publications, presentation or broadcast via newspaper, internet or other media sources). I do this with full knowledge and consent and waive all claims for compensation for use, or for damages.

Yes

Can you provide any additional information or questions?

Our Gifting Breakdown

Submit a Gift Request

GGF Gift Request Form

GGF Gift Request Form

Our Gifting Breakdown

JOIN GGF MAILING LIST

(985) 966-1448