2017 Bedford Santa Online Registration Form

You may register online OR call the answering machine at (781)275-1680. YOU ONLY NEED TO DO ONE METHOD OF REGISTRATION. If you register through the online form, you do not need to do the others.

All registrations should be completed by Friday, November 24th, 2017 (late registrations will be accepted, but if you are thinking about it and reading this, help us out and register now for a visit, you can adjust numbers later!)

Please provide your first and last name (spell your last name), the address the gifts will be delivered to, phone number, the number of gifts that will be delivered, the ages of children receiving the gifts (recommend children under the age of 12), and any additional questions or comments.

If you provide your email address, we will use it only for questions and to email reminders, notifications or instructions regarding Bedford Santa.

Email address *
First Name
Your answer
Last Name
Your answer
House Number
(Enter your house number only here)
Your answer
Street Name
Your answer
Street Address Line 2
(eg. Apartment Number)
Your answer
Town, State, Zip
This program is for Bedford, MA USA Residences Only
Number of Gifts
Enter the number of gifts that Santa will deliver.
Age(s) of Kids
Please list the ages in years of the children who Santa will visit.
Your answer
Do you have a dog/dogs?
Email Address (Again, for verification)
Your answer
Phone Number
Your answer
Please leave us any questions, comments, or additional directions.
Someone will email or phone you back if you require a response.
Your answer
Click Submit (below) and you are all set!
If you check "Send me a copy of my responses", you will receive confirmation of your registration. Otherwise you will be directed to a confirmation screen and you will be all set! If this form is still up, your registration should be received. Your next step is Gift Drop Day at JGMS on Saturday, December 16th!
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