Jingling the Clauses Registration Form
Fort Atkinson Parks and Recreation Department and the Fort Atkinson Rotary Club have made arrangements with Santa and Mrs. Claus at the North Pole to call your child this holiday season! Calls will be placed on December 14 between 6-8pm. This form will close on Dec 7 at midnight. If you have more than one child that would like a call from Mr. or Mrs. Claus, please fill out one form per child and one call will be made. If you don't answer the first call, Santa or Mrs. Claus will call back right away and if still no answer, they will leave a voicemail. Please do not try to return phone calls made by Santa or Mrs. Claus (calls will be *67 - from a blocked number). Thank you! Sponsored by Fort Atkinson Rotary Club and Brickhouse Pizza.
Email address *
Child's Name (first and last) (fill out one form per child) *
Help Santa pronounce your child's name correctly *
Child's Gender *
Child's Age *
Telephone Number for Santa to Call *
Teacher's Name *
Please list any behavior(s) you would like Santa to reinforce (i.e. brushing teeth better, picking up room, etc.) *
List any good behavior(s) that you would like Santa to compliment your child on *
Is there a brother, sister, or friend you would like Santa to mention? Please list ages also.
Name and type of any pets
Name of school and grade
Santa calls will be made on December from 6pm-8pm. During this time period what time frames are good to call (check all that apply). *
If you have more than one child, would you like to put Santa on speaker to talk to all children at the same time or would you like Santa to talk to them separately in the same phone call?
Clear selection
Any special requests?
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