Sole Reason Shoe Request Please submit one form per child Question Title * 1. Name Question Title * 2. I am a Friend Parent Teacher Social Worker Organization employee Other (please specify) Question Title * 3. Organization Name Question Title * 4. Phone Question Title * 5. School drop off address (can not deliver to homes) Question Title * 6. Child's name Question Title * 7. Child's age Question Title * 8. Child's race White Black or African American American Indian Hispanic Asian Two or more races Other (please specify) Question Title * 9. Child's gender Boy Girl Question Title * 10. Sneaker Size Question Title * 11. Child's school or organization Question Title * 12. Does this child qualify for reduced lunch Yes No Unsure Question Title * 13. Which handmade item would they prefer to be gifted? Bracelet Keychain Question Title * 14. Which is their favorite color? Pink Blue Red Orange Purple Green Yellow Black White Rainbow Tie-dye Question Title * 15. Which would they prefer their gift to be themed? Mermaids, Flowers, Hearts, Books, Dinosaurs, Fun/Inspirational Quotes, Zoo or Ocean Animals, Sports- please be specific Done