Note : One form for each child in attendance 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

Family Name *

Email *

Child's Name *

Age *

Gender *

• Male
• Female

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

School

Grade

Teacher(s)

Special achievements in school

Sports/Activities child participates in and any achievements

Things mom and dad are proud of

Things mom and dad would like them to do better

Wish List (that they are most likely to get)

Favorite gift from last Christmas

Favorite Christmas movie

Please upload a recent picture of the child by themselves *

Click or drag a file to this area to upload.

Submit