Request a Santa Visit

To request a visit from Santa, please complete the form below. We accept requests for special needs “children” age 1-92 who are compromised and unable to visit Santa in traditional locations. Please note that we do our best to accommodate as many requests as possible, but are currently unable to offer any guarantees of a visit until we are sure we have an available Santa in your area.

Name of Parent, Caregiver, or Guardian*
First Last
Email of Parent, Caregiver, or Guardian*
Enter Email Confirm Email
Contact Phone #*
Address for Santa Visit*
Street Address City State / Province / Region ZIP / Postal Code Country
Number of children at this location*
Please enter a number from 1 to 6.
Name of main child for Santa to visit*
Age of child*
Please enter a number from 1 to 25.
Message
Name
This field is for validation purposes and should be left unchanged.