Ben's Toy Closet Application

This is the application for toys and devices. To request a toy, switch or other device, please complete the below application fields. Once completed, you will be contacted within five business days with status or next steps. We cannot guarantee to provide everything that is requested but will do our very best to bring a smile to your child's face. 

Child Name *
Child Name
Address *
Address
Items Requested *
Please identify which items you are requesting for your child/client:
Is there family financial need?
Photo Release *
I agree to provide photographs of my child with the toy gift that can be used solely and specifically on Bensmiles.org or on Ben's social media accounts.