Snowball Bag Request FormBags are for Inpatients Only Person requesting Snowball Bag Information Name * First Name Last Name Title * Agency or Hospital * Phone (###) ### #### Email * Where should the Snowball Bag be delivered? * Patients Information Receiving the Snowball Bag Name First Name Last Name Diagnosis * Social Worker's Name * First Name Last Name Patients Gender * Patients Age * Anything that should not be included in the Snowball Bag? (this may include scents, cultural aversions, games or toys the child would have difficulty with, etc.) * Snowball bags are delivered to the hospital during the first big snow of the season. The purpose of a Snowball Bag is to create an atmosphere of "snow-filled" fun and fantasy for those in-patient during the first snow. Each bag contains a hat, a stuffed animal, a winter book, hot-cocoa (or an alternative hot drink for those unable to consume chocolate), snowballs, and invitations to pass out to fellow in-patient snow-ballers, medical staff, and relatives! If you know your child will be inpatient during the first big snow of the year please fill out an application/on-line form and we will make sure they receive a bag. Thank you! If you have any questions please do not hesitate to contact us. Thank you!
