Video Message

Video Message

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 message has been delivered. 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 NameLast Name
Parent Email
example@example.com
Parent Phone Number

Area CodePhone Number
Santa will let me know once the recording is completed
Do you consent for your child(ren) to talk to Warrenton Santa over the computer?
Name of Child #1

First NameLast Name
Type of School Child #1
Brief History of this year's accomplishments for child #1
Name of Child #2

First NameLast Name
Type of School Child #2
Brief History of this year's accomplishments for child #2
Name of Child #3

First NameLast Name
Type of School Child #3
Brief History of this year's accomplishments for child #3
Name of Child #4

First NameLast Name
Type of School for Child #4
Brief History of this year's accomplishments for child #4
Name of Child #5

First NameLast Name
Type of School Child #5
Brief History of this year's accomplishments for child #5
Name of Child #6

First NameLast Name
Type of School Child #6
Brief History of this year's accomplishments for child #6
Do you desire Santa to discuss the Birth of Jesus?
Do you wish to receive future emails that will include information and discounts from Warrenton Santa?
My Products
prevnext( X )
Video Message from Santa
Santa will provide a video link

$50.00

Total

$0.00
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty:

Video Message

My Products

Payment Methods