Santa Home Visit - Christmas Eve
Information collected on this form is only to be used for the purpose of talking to the child during a home visit with the parent/guardian present . All information will be destroyed after the home visit has been completed. Parent/Guardian email address will be collected for future emails from Warrenton Santa. Option to opt is at the bottom of the form.
Parent Name
*
First Name
Last Name
Parent Email
*
example@example.com
Parent Phone Number
*
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I understand that the appointment is for Christmas Eve. The appointment can be 15 to 30 mins in length due to scheduling. I understand that Santa will contact me in the event of a scheduling conflict for the same.
*
Yes
Did you contact Santa prior to booking?
*
Yes
What date and time do you prefer?
*
Name of Child #1 participating
*
First Name
Last Name
Name of Child #2 participating
First Name
Last Name
Name of Child #3 participating
First Name
Last Name
Name of Child #4 participating
First Name
Last Name
Type of School Child #1 participating
*
Preschool
Homeschooling
Public
Online
Elementary
Middle School
High School
College
Type of School Child #2 participating
Preschool
Homeschooling
Public
Online
Elementary
Middle School
High School
College
Type of School Child #3 participating
Preschool
Homeschooling
Public
Online
Elementary
Middle School
High School
College
Type of School Child #4 participating
Preschool
Homeschooling
Public
Online
Elementary
Middle School
High School
College
Do you desire Santa to discuss the Birth of Jesus?
*
Yes
No
Brief History of this year's accomplishments - Please break apart per child
*
Do you wish to receive future emails that will include information and discounts from Warrenton Santa?
Yes
No
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Home visit with Santa
Home visit with Santa on Christmas Eve. 15 to 30 minutes depending on schedule. Home visit with Santa (Up to 4 Nice Certificates are included). Children check their name in the "Nice Book." Talk about Santa's Reindeer.
$
90.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
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