Recipient ID #:DXM1-200-1/4-F-17

Name: Shamiya
Gender: Female
Age: 17 years old

Special Needs Child:

Other info about child:

Gift Card Requested: Amazon
Sweatshirt Size: Adult Women’s L

Clothes Requested:
Top Size:
Bottom Size:
Shoe Size:
Other info about clothing request:

Toy, Game, Sporting Equipment, or Arts and Crafts Requested Items:
Item #1:
Item #2:
Item #3:

Preferred Books:
Reading Level: