Facility Toy Request - Little Smiles Florida

Request Toys for a Facility 2026

Name

This field is for validation purposes and should be left unchanged.

Facility Name(Required)

Facility Phone Number(Required)

Facility Street, City, State, Zip(Required)

Contact Full Name(Required)

Contact Position at Facility(Required)

Contact Email(Required)

Contact Phone Number(Required)

Second Contact Full Name(Required)

Second Contact Email(Required)

Second Contact Phone Number(Required)

Toy deliveries will take place December 17–22. What is the latest date during this window that your facility can accept its toy donation? (This is not a confirmed delivery date. A Little Smiles representative will contact you to schedule your delivery.)(Required)

Please briefly share your story with us and why your facility needs assistance: (Internal use only, all information provided is confidential)(Required)

What does your facility do?(Required)

What other holiday assistance are you receiving?(Required)

Have you received toys from the Little Smiles Toy Drive previously?(Required)

How many children, in total, do you need toys for?(Required)

Please provide breakdown of the children receiving toys by gender and age below:

Boy 0-2(Required)

Girl 0-2(Required)

Boy 3-5(Required)

Girl 3-5(Required)

Boy 6-8(Required)

Girl 6-8(Required)

Boy 9-11(Required)

Girl 9-11(Required)

Boy 12+(Required)

Girl 12+(Required)

How did you hear about the Little Smiles Holiday Toy Drive?(Required)

I hereby warrant that all information provided on this toy request form is true and accurate. I acknowledge that any attempt to provide false information will result in my disqualification in receiving toys or services from Little Smiles. I acknowledge that I must provide identification for myself, as listed on this application, in order to collect toys at pick-up. Please type your full name as an electronic signature:(Required)

Thank you for your interest in our 17th Annual Holiday Toy Drive!