Note : One form for each classroom Santa will be visiting should be submitted 5 days before visit. Enter all information you are comfortable with sharing. This information is kept confidential, not shared with anyone other than Santa, and deleted after the visit.

Date / Time of visit *

Date

Time

Time Zone *EasternCentralMountainPacificHawaiian

School Name: *

Name of Teacher(s) *

Name of Elf on the Shelf (if you have one) and Gender

Primary message you would like Santa to convey

Something you would you like Santa to encourage your students to do

Recent class activities

Other information from teacher

Submit