Applying for a Cake?  Click here for an application.

Frequently Asked Questions (FAQs) for families

Ready for some sprinkle joy? Dive into our FAQs for Families and discover all the sweet deets about our celebration cakes for your kiddo!

Learn about our cake varieties, sizes, designs, and find out how your family can join the party. We’re thrilled to be a part of your celebration – let’s make it cake-tastic!

Icing Smiles kid smiling

How do you verify a child’s eligibility?

  1. Icing Smiles Medical Eligibility Form (MEF) needs to be completed by the child’s Specialist Physician, Physician’s Assistant (PA), or Nurse Practitioner. This form will be valid for 2 years from the signature date.
  2. In lieu of the MEF, you may submit the Icing Smiles Partnership form provided by Make-A-Wish or another approved organization that we partner with. The approval date must be within 2 years of the date on this form. We cannot accept Give Kids the World forms, travel documents, or DocuSign.

What is the difference between a “dream” cake and a “fun” cake?

We’ve got two fab options for our awesome families: Dream Cakes and Fun Cakes. Dream Cakes are like edible masterpieces – tiered, 3D, or sculpted, all custom-made by our fantastic volunteer bakers. They’re a labor of love, and each kiddo can score one Dream Cake through our program. Now, if you’re in the mood for a more casual slice of happiness, our Fun Cakes are the way to go. Think rectangular or single-tier round cakes, perfect for every celebration and milestone. Let’s turn moments into memories with a dash of frosting fun!

Can we request a particular theme?

You get to pick the theme, flavor, main and secondary colors, and the sweet message for your special treat. Just fill out our Cake Details Form – it’s your golden ticket to sugary bliss! Slide it over to your baker at least 3 weeks before your event, and then let the cake adventure begin. Our amazing Sugar Angels are ready to whip up a personalized masterpiece that flaunts their talents and decorating wizardry. No need to stress about sample pics; we want this to feel more like a delightful surprise gift than a cake order. It’s the Icing Smiles way!  

What size cake can we receive?

Feel free to ask for a cake in any size, with a max of 40 servings. If you’re expecting a bigger crowd, no worries – we suggest you add some extra sweet treats to supplement to the mix. Check out our nifty “Cake Cutting Information” at the bottom of the FAQs to become the cake-cutting maestro and maximize those servings. Let’s make sure everyone gets a taste of the fun!

Other questions you might have...

Is my child eligible?

We’re here to spread some cheer! Our cake celebrations are for kids facing tough medical challenges. If your little one has a condition that’s progressive, degenerative, or malignant and is within two years of their most recent treatment, or if they’ve been require frequent or extended hospitalizations, we’ve got a slice of sweetness waiting for them. Let’s make their journey a little brighter with a touch of sugary magic!

Who provides your cakes?

We’re not a bakery – in fact, we don’t even have an oven to bake up the sweetness. But fear not, we’ve got an army of awesome volunteers, aka our Sugar Angels, sprinkled all over the U.S., ready to whip up the cake of your dreams. Once we’ve got your eligibility squared away, it’s game on! We’ll team you up with a local Sugar Angel to bring the cake magic right to your doorstep. Let the baking adventure begin!

How far in advance do I need to apply?

The earlier you request your cake wishes, the better chance we have to snag you the perfect baker and give them all the time they need to whip up a showstopper. We’ve even received cake requests a whole year in advance – yup, that’s the kind of excitement we’re talking about! Just submit your application whenever you’re ready to party, but don’t forget our golden rule: all paperwork magic must be submitted and approved by at least four weeks before your big day. Your cake superhero won’t be scheduled until your eligibility has been approved.

What is the definition of an “urgent” cake?

If a medical child is terminal or hospitalized on their birthday, we allow an exception and only require one-week notice from our families. Please note that this option is not available for sibling cakes.

How many cakes may my child receive from Icing Smiles?

A medical child may receive one Dream Cake and multiple Fun Cakes through our program. They may receive one cake per calendar year (January-December).

Siblings are limited to two cakes through our program: one fun cake and one dream cake. They may only receive one cake per calendar year (January-December). The sibling cakes must be used within the medical child’s eligibility period.

Can I put in applications for all of my children at the same time?

You can submit your applications at any time, for any children. We do need one application per child, submitted every year that you would like to receive a cake.

For what type of occasion may I request an Icing Smiles cake?

Cue the confetti! Any reason is a good reason for a cake extravaganza! Whether it’s a birthday bash or some other awesome milestone, be it medical or just a “just because” moment, we’re all in for spreading joy and sweetness to you and your little superstar. Let’s turn any day into a cake-worthy celebration!

Which dates do you serve?

We serve cakes throughout the year with the exception of these specific holiday dates:

2024: Jan: 1, 2 (New Years), Feb: 13, 14, 15 (Valentine’s Day), March: 31 (Easter), May 11, 12 (Mother’s Day), May 25, 26, 27 (Memorial Day), July 3, 4, 5 (Independence Day), Nov: 25, 26, 27, 28, 29, 30, Dec. 1 (Thanksgiving), Dec: 23, 24, 25, 26, 31 (Christmas/New Years)

2025: Jan: 1, 2 (New Years’), Feb: 13, 14, 15 (Valentine’s Day), April: 20 (Easter), May: 10, 11 (Mother’s Day), May: 24, 25, 26 (Memorial Day), July: 3, 4, 5 (Independence Day), Nov: 25, 26, 27, 28, 29, 30 (Thanksgiving), Dec: 23, 24, 25, 26, 31 (Christmas/New Years’)

2026: Jan: 1, 2 (New Years’), Feb: 13, 14, 15 (Valentine’s Day), April 5 (Easter), May: 9, 10 (Mother’s Day), May: 23, 24, 25 (Memorial Day), July: 3, 4, 5 (Independence Day), Nov: 24, 25, 26, 27, 28, 29 (Thanksgiving), Dec: 23, 24, 25, 26, 31 (Christmas/New Years’)

Do you provide memorial cakes for families who have lost a child?

Yes, we provide memorial cakes for families who have experienced the loss of a qualified medical child within the last two years. We appreciate you trusting Icing Smiles and our Sugar Angels with honoring your child.

How does Icing Smiles communicate with families?

Our communication with families is handled mostly through email and texts for several reasons. This allows us to have a record of our correspondence with you, which is especially important when we ask for the details of your request so that we may share this information with your child’s baker.

We understand that the care and treatment of your child take priority, and we want to make it as easy as possible for your family to work with us to provide your child with an Icing Smiles cake. If you feel that you will be unable to respond in a timely manner, you may appoint a liaison to communicate with us on your behalf. The liaison can be anyone you choose who is willing to respond to communication in order to facilitate arrangements for your child’s cake.

Will you deliver the cake?

We ask that all our families plan to pick up the cake. We will remind you and the baker to make arrangements 2 weeks prior to the event date. 

How do you control quality?

We state standards to ensure product quality. Our families are the next best resource for quality control. Your honest feedback is essential to ensure we provide the best cakes possible.  

A link to a Feedback Form will be provided in the thank you note that we send to you after the event date. We cannot guarantee the quality of either the design or taste of any cake. Our volunteer bakers dedicate an incredible amount of time and energy to your cake, and we hope you will be able to sense the amount of love poured into it. 

Cake Cutting Information:

Cakes are generally designed and sized according to industry-accepted portions. Below are links to a few different servings and cutting guides for differently sized and shaped cakes, and a brief video that shows how to cut a round cake to achieve the appropriate number of servings.

Click here for a cutting guide for various sized cakes.

Click here for a video on how to portion a celebration cake.

Does the parent or guardian need to request the cake?  

As of March 2024, we require that the application be completed by a parent or legal guardian. 

Is there an age limit?

We serve children between the ages of 1 and 18 (one cake during the 18th year, well in advance of the 19th birthday). Event date must be within 6 months of turning 18.

After the medical child has turned 18, the siblings are no longer eligible as well. 

Can you accommodate dietary restrictions?

Icing Smiles does offer dietary restrictions when the child receiving the cake has a dietary need.

If your little one has a special dietary need, we’ve got you covered with some seriously cool specialized cakes. Our application will dive into the nitty-gritty of the allergy situation, and we’ll do our cakey best to make it all work. However, as the recipient of the donation, you accept liability and assume all responsibility associated with the consumption of the donated cake.

*Dietary restrictions can only be accommodated for the person receiving the cake.

Does diabetes qualify as a qualifying condition?

*As of 9/1/24 we will no longer consider diabetes alone as a qualifying condition.  The reason for this change is the challenge of finding volunteers who can accommodate the dietary restrictions related to this condition.   

What if a sibling becomes a medically eligible child?

In order for a child to be considered a medically eligible recipient, an Icing Smiles Medical Eligibility Form (MEF) must be completed. If a child has already received a dream cake as a sibling, they would not be eligible to receive another dream cake as a medically eligible child.

Our Sugar Angels are ready to answer the call! Request a smile for your child now.

Important note: Once your application has successfully been submitted, you will see a confirmation page AND receive an email. If you do not receive the confirmation, please try again, preferably from a non-mobile device. If you have continued problems, please contact icingsmiles@icingsmiles.org.