Smile Box Application

To apply for a Smile Box, please complete the application below.

Our Smile Box Program is available for children who are affected by a pediatric disease, illness, or hospitalization. Boxes will ship out 3-4 weeks after submitting this request. Please check your email, we may need to contact you.

This program is open to US residents only.

If there is a specific gift or gift card in mind, please list it and we will try our best to accommodate. We will include general gift cards for caretakers and siblings. These boxes are filled by our amazing supporters, each box is limited to a total of a $150 value.