A SANTA REFERRAL

Every family or child that is visited by Santa has been from a referral. We look for those who perhaps have been forgotten by most. A family without a supporting church or organization is a target for our Santa.

Community organizations such as Law Enforcement or Fire Departments alert Santa of special circumstances and needs.

Do you know of such a family?

Well, give us the following information and let's see what we can do.

(Note: Completing this referral does not guarantee Santa participation.  We will do all we can, but are limited by our donations.  We will inform you of our progress.)

 

Your Name: (First and Last)

 

City Where You Live:

State:
Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinos Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Your E-mail address:

 
Your Phone Number:
( ) -

Are you LDS?  Yes  No

 

The Family to be helped:

Their Street Address

Their City             Their State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinos Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Their ZIP

Their Phone Number:(if any)
( ) -

Please give us the names of all family members with their sex, clothing sizes, and any special

notes that would help Santa.  Please include Mom and Dad too.
MOM DAD CHILDREN(Include Ages)

Thanks for joining us!