Name:

Age:   Boy: Girl: Birthday:

Address:

Parent/Guardian Name:

Email Address:

 School, Grade, Employer, or Type of Work:

Name of Teacher or Boss:

Names of Brothers and Sisters:                             Name of Friends (Up to three):

One Item Santa Will Bring:

One Item to be in their stocking:

What does the person receiving this letter call you (Mom & Dad, Aunt Jane, Uncle Jim, Grandpa Joe, Granny, etc……..)?