5C7CDEA1-D2D5-4C46-8CF1-9CCBA258A07D.PNG

Celebrate Autism and Special Needs Questionnaire

* Name of person completing this application. How do you relate to the child with special needs?
0/250
* Tell us about your child..their name, age and when is their birthday?
0/500
* What would make your child's birthday special?
0/500
* What is your child's superpowers and/or interests?
0/500
* What types of gifts would make your child the happiest?
0/500
* Does your child have any ocd or is there any type of gift or item that could potentially upset your child?
0/500
* Does your child like balloons
* Does your child have any food allergies? Please list below
0/250
Does your child have a favorite snack food and/or brand of that food?
0/250
* Please provide your email address and mailing address below
0/250
* By checking the the box below I hearby release and hold harmless Tune Into Superpowers, Inc, it's management and employess with respect to any and all injury or loss or damage to person or property related to receiving a birthday party surprise package.