Santa Video Chat - 24 December 2024
Information collected on this form is only to be used for the purpose of talking to the child during a video chat with the parent/guardian present . All information will be destroyed after the video chat 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
What time you would you like on the 23 December 2024
*
500 pm
520 pm
540 pm
600 pm
620 pm
630 pm
640 pm
700 pm
720 pm
740 pm
800 pm
820 pm
840 pm
I understand that this appointment is for December 23, 2024. I understand that Santa will confirm my appointment time. It is the parent/guardian/scheduler responsibility to contact me in the event of a scheduling conflict for the same.
*
Yes
Do you consent for your child(ren) to talk to Warrenton Santa over the computer?
*
Yes
VIDEO RECORDING POLICY: Every session is recorded for insurance purposes only. Warrenton Santa gives permission for you to record the private session for your own personal use. The purchaser does not have permission to distributed the video for commercial use or on media channels without prior permission from Warrenton Santa. Click "YES" to state that you understand our policy.
*
Yes
CANCELLATION/NO SHOW POLICY: Warrenton Santa will do everything in his power to ensure that he is available at the scheduled time and date. If so some reason, you are unable to make the scheduled appointment, it is your responsibility to contact Santa to change the date and time. If you do not make arrangements at least 6 hours prior to the event, the appointment will be fortified and the retainer will not be refunded. Click "YES" to state that you understand our policy.
*
Yes
Name of Child #1
*
First Name
Last Name
Type of School Child #1
*
Preschool
Homeschooling
Public
Online
Elementary
Middle School
High School
College
Brief History of this year's accomplishments for child #1
*
Name of Child #2
First Name
Last Name
Type of School Child #2
Preschool
Homeschooling
Public
Online
Elementary
Middle School
High School
College
Brief History of this year's accomplishments for child #2
Name of Child #3
First Name
Last Name
Type of School Child #3
Preschool
Homeschooling
Public
Online
Elementary
Middle School
High School
College
Brief History of this year's accomplishments for child #3
Name of Child #4
First Name
Last Name
Type of School for Child #4
Preschool
Homeschooling
Public
Online
Elementary
Middle School
High School
College
Brief History of this year's accomplishments for child #4
Name of Child #5
First Name
Last Name
Type of School Child #5
Preschool
Homeschooling
Public
Online
Elementary
Middle School
High School
College
Brief History of this year's accomplishments for child #5
Name of Child #6
First Name
Last Name
Type of School Child #6
Preschool
Homeschooling
Public
Online
Elementary
Middle School
High School
College
Brief History of this year's accomplishments for child #6
Do you desire Santa to discuss the Birth of Jesus?
*
Yes
No
Do you wish to receive future emails that will include information and discounts from Warrenton Santa?
Yes
No
My Products
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Video Call with Santa
Parents will need to have Zoom available on their device to receive the visit from Santa
$
35.00
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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