Friendsgiving Feast Registration Form

Friendsgiving Feast Registration
Please fill out the following below to register for Friendsgiving.
Name
Name
First Name
Last Name

Questions and Disclaimer

  • THIS PROGRAM IS ESPECIALLY DESIGNED FOR HOUSEHOLDS WITH CHILDREN OR ADULTS WITH SPECIAL NEEDS IN NEED OF THANKSGIVING SUPPORT.
  • You are eligible for only one Friendsgiving care package per household.
  • You must sign below verifying you have read and understand the program outline on this page.
  • Please fill out the attached form in its entirety. Do not include any relatives or friends who may be visiting for the holidays—just those who live in the house.
  • APPLICATIONS MUST BE IN OUR OFFICE NO LATER THAN WEDNESDAY, NOVEMBER 14TH 2025.
  • Basket quantities are limited and approval is subject to eligibility
  • Upon Approval, you will be contacted by November 17th.
  • Pick-up is on November 22, 2025 from 10am – 3:00pm at Play-Place at 42301 Mound Rd, Sterling Heights, MI 48314.

1. About Your Family

Does your situation have a child, teen, and/or adult with autism or special needs?
2. Age Range: What is the age of your child(ren) with special needs?
3. Have you or your family received services or attended events at Play-Place Autism & Special Needs before?
4. Would any of the following services that Play-Place offers interest you?

Friendsgiving Pickup & Accessibility

5. Will you or someone else be picking up your Friendsgiving Feast package?
Name of other family or friend who will pick up in your place
Name of other family or friend who will pick up in your place
First Name
Last Name
6. Preferred Pick-Up Time Window:

Household Size & Meal Preferences

7. How many total people are in your household?

Staying Connected

10. Would you like to receive updates about future Play-Place events, programs, or giveaways?
11. How did you hear about the Friendsgiving Feast?

Acknowledgment

Acknowledgment & Consent
Agree to text and email updates?