Request a Basket

A Jack's Basket offers the gift of hope, love, and connection.

Celebrate a baby!

A Jack’s Basket is a complimentary welcome gift for the family of a baby diagnosed with Down syndrome. Baskets include baby gifts, a collection of books and resources, and the opportunity to connect with a parent raising a child with Down syndrome.

FORM BELOW

Who can request a basket?

Baskets can be requested from the time of diagnosis (prenatal or at birth) up to the baby’s first birthday by healthcare providers, parents, friends, family members, or a Down syndrome organization. Please select the type of request and provide as much information as possible to ensure delivery and parent connection (where available).

If you have questions, please see our FAQ section below or email info@jacksbasket.org or call 651) (456-8321.

Basket Request Form

Congratulations! We are thrilled to be able to celebrate your baby and support you at the start of your new journey with your child.  

Please complete the form below as fully as possible. All information is kept confidential within our organization. By submitting a request for a basket, you consent to receive the basket and share your information with Jack's Basket. We use some information in an anonymous way to improve our basket program over time. For additional information, please visit the FAQ section below.

Thank you for welcoming us into your journey! 

We are thrilled to be able to celebrate your patient and support this family at the start of their new journey. 

Please complete the form below as fully as possible. All information is kept confidential within our organization. By submitting a request for a basket, you confirm that you have obtained consent from the family to receive the basket and share their information with Jack's Basket. We use some information in an anonymous way to improve our basket program over time. For additional information, please visit the FAQ section below.

Thank you for impacting this family’s diagnosis story from the very beginning! 

We are thrilled to be able to celebrate your friend or family member’s baby and support this family at the start of their new journey.  

Please complete the form below as fully as possible. All information is kept confidential within our organization. By submitting a request for a basket, you confirm that you have obtained consent from the family to receive the basket and share their information with Jack's Basket. We use some information in an anonymous way to improve our basket program over time. For additional information, please visit the FAQ section below.

Thank you for impacting this family’s story from the very beginning! 

We are thrilled to be able to celebrate this new baby and support their family at the start of their new journey. 

Please complete the form below as fully as possible. All information is kept confidential within our organization. By submitting a request for a basket, you confirm that you have obtained consent from the family to receive the basket and share their information with Jack's Basket. We use some information in an anonymous way to improve our basket program over time. For additional information, please visit the FAQ section below.

Thank you for impacting this family’s story from the very beginning! 

Requester Information
Please share your information as the person requesting the basket.

If the family does not know about the basket, we will include a notecard in a shipped basket stating it was requested by you. Parents must be aware of the basket for one of our parent-volunteers to reach out and deliver the basket in person.



What is your workplace or institution?


We'll email you to confirm your request and follow up if we need any additional information.

Optional: We may contact you if we have questions about the request.

We will send a packet it to this address:





Baby's Information
Please provide as much information as you can. It's okay if you don't know every detail.



We celebrate babies from time of diagnosis to one year old. For resources for children over one year, please check our Resources page!

If you're unsure of the exact date, an estimated date is okay.

This helps us send the most appropriate basket.

When was the diagnosis of Down syndrome given? This helps us include resources that are most helpful for the family's experience.

This helps us customize the basket and include helpful resources.


Optional: Share any additional cultural or ethnic background you'd like us to know. This information may help us connect families with volunteers who share similar cultural backgrounds.

Where was, or will, the baby be born? This helps us when a volunteer may be able to deliver a basket in person.

Optional: Share any additional information you’d like us to know. This may help us better support the family.
Basket Recipient Information
Please provide information for the baby's parent or guardian.



We'll use this email to share updates about the basket and connect with the family if needed.

If the family chooses to connect with a parent volunteer, this phone number may be used for that connection.

We try to supply resources or a parent volunteer in the same language when available.

Please provide a home address so we can ship the basket if a parent volunteer is not available to deliver it in person. Do not provide a hospital address, as baskets shipped to hospitals are often misplaced. If the basket needs to be shipped to a friend or family member instead, please include that information in Additional Comments.









Optional: Share anything else you'd like us to know about the baby or family.
Additional Parent Information





We try to supply resources or a parent volunteer in the same language when available.

Additional Questions

If a local volunteer is available, they will reach out to you by phone to arrange a basket delivery as it works with your schedule. If a local volunteer isn’t available, we’ll connect you with another parent by phone.


Hidden field for now, unhide if we want it added back to the form.

This helps us understand how families find Jack's Basket.


After submitting this request, our team will review the information and follow up if we need anything else.


Frequently Asked Questions

Yes! Thanks to our generous donors, all baskets are complimentary, and are provided without charge to the requestor or the recipient.

All information exchanged is kept confidential and used to ensure the basket is given to the family in the most complete, specific, and timely manner – including making adjustments to the contents of the basket based on diagnosis, gender, or language and matching the best parent-volunteer when available. We respect HIPAA laws of privacy and no information is shared without parent consent.

We use trends around diagnosis, language, even hospital location, to adjust basket contents for this basket now, and for others later, as well as to build awareness of the program as we work to reach and celebrate every baby.

Whenever possible, baskets are delivered in-person by one of our trained volunteers who are parents of a child with Down syndrome. All other baskets are shipped directly to the family home and parents are offered the opportunity to connect remotely with a member of our parent volunteer team.

Unfortunately, we are unable to facilitate parent connections for families who live outside of the United States.

Each family who lives in the United States is given the opportunity to connect with one of our parent volunteers! Even if the family lives outside of the area of one of our trained volunteers, and are not able to receive an in-person delivery, we give every family the opportunity to connect remotely with one of our parent volunteers.

Unfortunately, at this time, we are unable to facilitate parent connections with families who reside outside the United States.

We ship to all 50 US states and all over the world! We do our best to ship internationally, but we are unable to cover any customs fees that may arise. Please note, we are not responsible for any lost/stolen baskets. If you do not receive your basket within two weeks of the request, please email info@jacksbasket.org.