Santa's Parent Question Form

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This form will help Santa personalize your child's phone call.

Email *

Welcome!

Santa's personalized prerecorded message is just $10.00 (USD) - payable via PayPal. Payment instructions will be sent via email. Please verify your permission to email you. *

I grant permission to email payment instructions and available times.

I do not grant permission to email me.

Would you like a phone call or a recorded message sent via email? *

Phone Call (Santa will email you with available times and request your phone number)

Child's First Name or Nickname *

Male or Female *

Male

Female

General Location (state or region) *

Child's Grade Level *

Preschool

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

Middle School

High School

First Name(s) of Child's Friend(s)

Something Good Child Has Done This Year

You May Also Choose From Santa's Good Deeds List - please select no more than 3.

Good Manners

Does Chores

Brushes Teeth

Does Homework on Time

Helps Make Dinner

Shares Toys

Walks the Dog

Is Kind to Friends

Says Prayers

Helps With Little Brother

Helps With Little Sister

Plays Nicely

Feeds the Dog

Feeds the Cat

Never Runs Inside

Never Talks Back

Has He/She Santa a Christmas List? *

Would you like Santa to remind your child of the "reason for the season" at the end of the message? Santa will say, "Remember! Jesus is the reason for the season! Merry Christmas!"

Yes

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Do you have any comments or questions?

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