You may have sent this to me previously but please fill out completely again.The good deeds and Santa list will have changed, and maybe an address!Thanks, Helen

Your Name: ______________________________ Best Number to reach you: ____________________

Your Address: _________________________________________________________________

Your Best Email: ______________________________________________________________

Child's Name________________________________________ Birthdate________________ Boy oGirl o

His/Her school__________________________________ Teacher's Name________________________________

Best school/other accomplishment this year___________________________________________________________

What is s/he asking for this year _______________________________________________________________

_________________________________________________________________________________________

What good deeds has the child done this year? (include name of the person and any details)

_________________________________________________________________________________________________

_________________________________________________________________________________________________

Is there anything that the child needs to work on? Such as making beds etc.

_______________________________________________________________________________________________

_______________________________________________________________________________________________

If they have a pet what kind of animal _________________________ Name__________________ Male or Female?

Your child's/grandchild's address if different from where I sent this: _______________________________________

____________________________________________________________________________________________

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Child's Name______________________________________ Birthdate_______________ Boy oGirl o

His/her school___________________________________ Teacher's name__________________________________

Best school/other accomplishment this year _____________________________________________________________

What is s/he asking for this year _______________________________________________________________
_________________________________________________________________________________________

What good deeds has the child done this year? (include name of the person and any details)

_________________________________________________________________________________________________

_________________________________________________________________________________________________

Is there anything that the child needs to work on? Such as making beds etc.

_________________________________________________________________________________________________

_________________________________________________________________________________________________

If they have a pet what kind of animal_________________ Name ______________________________Male o Female o

Your child's/grandchild's address if different from where I sent this: __________________________________________________________________________________________________________________________________________________________________________________________________

If there is anything else you'd especially like to have included, please add that in. _____________________
_______________________________________________________________________________

Return by December 3, 2022 by email to: Helen@HelenLPhillips.com [note: middle initial "L"]. OR, mail to me at: PO Box 3397, Boone NC28607