Breakfast with Santa Registration
Please complete this form to register your child or children to receive gifts at our Breakfast with Santa event. We use this information to ensure we have the correct number of toys for each age group and to make distribution smooth and organized for all families. You will be asked to list each child in your household along with their name, age, and school level. All children from infants through high school are eligible.
Parent/Guardian Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Household Information
How many children are in your household?
*
Please Select
1
2
3
4
Child 1
*
Child 2
*
Child 3
*
Child 4
*
Event Registration
Will your family attend the Breakfast With Santa Event on Dec 20 (10am-12pm)?
*
Yes
No
How many adults will attend?
*
How many children will attend?
*
Photo/Video Release
*
I consent to photos being taken of my child(ren) at the event.
I do not consent to photos being taken of my child(ren) at the event.
Final Confirmation
*
I confirm that the information provided is accurate and that my family will receive gifts at the Breakfast With Santa Event.
Submit
Should be Empty: