He was speechless when he saw it and couldn't wait to show it off to his friends, although wasn't entirely sure he wanted to eat it.
It's a common complaint for Mrs Orr - who has been creating things out of sugar since she was a child.
She qualified as a pastry chef and has also taught herself various techniques along the way.
"I'm constantly learning. It's an expensive hobby."
Surprisingly, Mrs Orr said she couldn't draw a stick figure to save herself and was told by a high school art teacher she should never be an artist.
"I think in 3D."
Mrs Orr, who runs Ciccio Cakes, said she was thrilled to be involved in Operation Sugar and said it was a great way to help givesick children something to smile about. "It's not all doom and gloom - you've got to have some hope and sugar is such a great way of doing that."
Josh's mother, Donna, said the organisation was awesome.
They found out about it after a friend of Josh's received a cake from them in a different part of the country.
She said that while Josh had been cancer-free for several years, he still needed daily growth hormone injections and thyroid medication to help with his growth after the treatment affected his pituitary gland.
He also has yearly MRI scans for monitoring and has some lasting affects from the treatment like hearing loss in one ear and some memory retention problems.
Operation Sugar organiser Rachel Jenkinson said the organisation was still in its infancy since starting last September.
She said they would love to hear from more people who wanted to volunteer - including bakers and photographers to capture the celebrations - as well as families who might be worthy recipients.
To find out more about Operation Sugar visit their website www.operationsugar.org.nz or contact them through Facebook.