Mitten State Santa Video Message
Please fill in the below information for your Personalized Video message
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Email *
Your Name *
Please enter First and Last name
Child's Name *
Please enter First and Last Name, thank you!
Age of Child *
Your Relationship w/ Child: *
Select only one
Required
Child's Favorite Activities *
You may list more then one
Child's School *
Child's Teacher *
First and Last Name
Family Pet
Please enter the family pet name and favorite activity   ie.  Lucky - Dog - Playing catch with red ball
Please list your child's recent accomplishment *
You may list more then one
Something the child has done that you feel proud about *
You may list more then one
Areas of improvement you would like Santa to encourage *
Any other special information to help Santa  -
A copy of your responses will be emailed to the address you provided.
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