Home Santa Visit Name * First Name Last Name Email * Address - Please note, we can only serve Rockford and the surrounding areas * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### What date are you interested in? * Afternoon, Sat, Dec 23 What are your children's names and ages? * How many gift bags do you need? ($5 for each bag over 1) * 1 2 3 4 5 6 7 8 Please give us any information about your children you would like Santa to know! * Thank you! We will confirm booking with you with in 24 hours! We’re so excited to bring extra magic to your Christmas!