Pictures with Santa
Complete this form to reserve a spot for pictures with Santa & Mrs Claus
Parent/Guardian Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Number of Children
*
Any special requests or needs Santa might want to know about?
Appointment
*
*
I give permission for Joseph Buff Farmers Insurance Agency to contact me
Submit
Should be Empty: