Santa Registration

Christmas Giveaway Registration

Please fill out the form below to register for our Christmas gift giveaway program.

Full Name *
Email Address *
Phone Number
Street Address
City
State
Zip Code
Household Size	Number of people in household
Ages of Children	Enter ages separated by commas
General Gift Interests
Top 3 Wishlist Items
Dietary Restrictions/Allergies
Eligibility & Agreement	I confirm I reside within the specified county/city
	I have read and agree to the giveaway rules *