Operation Kid Comfort Request

Please fill out this form with a SEPARATE application FOR EACH CHILD.
Including more than one (1) child on the application will result in non-acceptance of the application. You will be asked to upload photos for your quilt and we respectfully ask that you do not submit photos of children with guns.

Operation Kid Comfort Quilt Request & Release Form

Please fill out this form once for each child. You will be asked to upload photos for your quilt and we respectfully ask that you do not submit photos of children with guns.

*Required Fields

Parent/Guardian First Name: *

Parent/Guardian Last Name: *

Email Address: *

Home Address: *

City *

State: *

Zipcode/Postcode: *

Home Phone Number: *

Work Phone Number:

Cell Phone Number:

Service Member First Name: *

Service Member Last Name: *

Soldier's/Airman's Rank and Unit: *

Date Soldier/Airman is Due to Deploy *

mm / dd / yyyy

Length of Deployment: *

Branch of Service: *

Military Installation: *

Please include your spouse’s permanent duty station in the U.S. If relocated spouse, please annotate nearest base or city of relocation. This is to locate nearest Armed Services YMCA facility. *

Child's First & Last Name, Age, and Gender *

ASYMCA/OPERATION KID COMFORT PHOTO RELEASE *

Yes
No

File Requirements:

Image formats: jpg, jpeg, png, gif and bmp
File size: no larger than 5MB (if larger you will receive an error.)

Photo Upload 1 *

Photo Upload 2 *

Photo Upload 3 *

Photo Upload 4 *

Photo Upload 5

Photo Upload 6

Generate New Image

Type the code from the image

If you experience issues submitting your quilt or pillow request, please make sure that you have properly filled out all required information and have uploaded at least four images in the proper image formats. If you continue to have problems please contact [email protected] and let them know the specific trouble you are having.

ASYMCA/Operation Kid Comfort Release

The Armed Services YMCA is actively pursuing corporate, business and individual support for Operation Kid Comfort and the many other programs we offer. We would appreciate your permission to use photographic images provided for these projects, as well as photographs of the finished quilts and photographs taken at Operation Kid Comfort workshops and events for these purposes. Please read our privacy statement and approve or disapprove the use of your image, the image of your child(ren) and/or your spouse below.

Armed Services YMCA Privacy Policy: We do not disclose any nonpublic personal information about you to anyone, except as permitted by law. We restrict access to your personal information to those employees and volunteers who need to know that information to provide products and/or services to you. We maintain physical, electronic and procedural safeguards that comply with federal standards to guard your nonpublic personal information.

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