Your Name
Your Address
Your Email Address
Your Contact number(s)
Type of Visit
Please Select
Virtual Visit (approx. 3-7 minutes)
Message from Santa (approx. 2-3 minutes)
Desired Date of Visit
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Desired Time of Visit (please note we operate using Central Standard Time)
Child's 1st Name - (please spell phonetically if you know it may be challenging to pronounce)
Birthdate
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Current grade
Siblings/Genders/Ages
Pets (Types/Names)
Favorite Foods
Favorite Colors
Favorite Things To Do
Name a few things the child may "want" for Christmas
Name an item the child will most definitely be getting for Christmas (Santa won't ruin the surprise).
Tell Santa something the child should be praised for, i.e. grades, doing their chores, etc.
Tell Santa something he should suggest the child improve upon.
Anything else Santa should know?
**Please complete a separate form for each additional child**
Submit
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