Santa Request Form

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Name *

First

Last

Email *

Phone *

Number of or

Type of EventSanta Home VisitCompany Christmas EventDaycare VisitCommunity EventOther Santa Request

Home Visit, Corporate Visit, Daycare Visit, Community Event or Other (see Comments)

Date / Time of Event *

Date

Time

Event Address / Location *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Length of Santa Event

• 2 Hours
• 1.5 Hours
• 30 minutes
• Other (see Comments)

Estimated Number of Children

Estimated Number of Adults

Additional comments or message:

Submit

Your information will go to every Santa on Find-A-Santa page all at once. If they have availability on their schedule, they will contact you as soon as they can.