Number of Children* Please select the number of children at your address who you would like Santa to deliver toys to.
**Please submit only one form for all children at your address. If you will need to add more children later, please use the "Save and Continue" feature below, rather than clicking submit.**
Select Number of Children 1 2 3 4 5 6 7 8 9 10 11 12 13
Household Last Name* This is the last name Santa will use to make sure he's at the right house. Please use the last name of the main point of contact.
Contact Email* Contact Phone*
Address Please note that we serve the greater Pasadena, CA area only.
House Number* Number ONLY.
Ordinal* (i.e. N, S, E, W, etc.)
Select Ordinal None N S E W NW NE SW SE
Street Name* Input street name ONLY.
Suffix* (i.e. Street, Avenue, Road, etc.)
Select Suffix Dr Ave Blvd St Rd Ct Pl Ln Ter Way Cir Trl
Apartment/Unit
Gate Code or Other Access Info
City*
Zip Code* Select Zip Code 91001 91030 91108 91006 91104 91105 91101 91011 91007 91106 91103 91107 91024 91025 91011 91012 91020 91021 91006 91007 91066 91077 91732 91775 91776 91778 Out of Area
Child #1 Child First Name*
Child Age* Select Age Infant 1 2 3 4 5 6 7 8 9 10 11 12 13 14+
Child Gender* Select Gender Female Male Self Select (Write In Below)
Input Gender*
Be sure to select what type of toys you want below. Don't skip this step!
What Kind of Toy Would You Like (1st Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
What Kind of Toy Would You Like (2nd Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
Letter to Santa
Letter to Santa (Upload) You can upload a picture of your letter here, or use the text field above.
Child #2 Additional Child 2 Name*
Additional Child 2 Age* Select Age Infant 1 2 3 4 5 6 7 8 9 10 11 12 13 14+
Additional Child 2 Gender* Select Gender Female Male Self Select (Write In Below)
Input Gender*
Be sure to select what type of toys you want below. Don't skip this step!
What Kind of Toy Would You Like (1st Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
What Kind of Toy Would You Like (2nd Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
Letter to Santa - From Additional Child 2
Letter to Santa - Additional Child 2 (Upload) You can upload a picture of your letter here, or use the text field above.
Child #3 Additional Child 3 Name*
Additional Child 3 Age* Select Age Infant 1 2 3 4 5 6 7 8 9 10 11 12 13 14+
Additional Child 3 Gender* Select Gender Female Male Self Select (Write In Below)
Input Gender*
Be sure to select what type of toys you want below. Don't skip this step!
What Kind of Toy Would You Like (1st Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
What Kind of Toy Would You Like (2nd Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
Letter to Santa - From Additional Child 3
Letter to Santa - Additional Child 3 (Upload) You can upload a picture of your letter here, or use the text field above.
Child #4 Additional Child 4 Name*
Additional Child 4 Age* Select Age Infant 1 2 3 4 5 6 7 8 9 10 11 12 13 14+
Additional Child 4 Gender* Select Gender Female Male Self Select (Write In Below)
Input Gender*
Be sure to select what type of toys you want below. Don't skip this step!
What Kind of Toy Would You Like (1st Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
What Kind of Toy Would You Like (2nd Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
Letter to Santa - From Additional Child 4
Letter to Santa - Additional Child 4 (Upload) You can upload a picture of your letter here, or use the text field above.
Child #5 Additional Child 5 Name*
Additional Child 5 Age* Select Age Infant 1 2 3 4 5 6 7 8 9 10 11 12 13 14+
Additional Child 5 Gender* Select Gender Female Male Self Select (Write In Below)
Input Gender*
Be sure to select what type of toys you want below. Don't skip this step!
What Kind of Toy Would You Like (1st Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
What Kind of Toy Would You Like (2nd Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
Letter to Santa - From Additional Child 5
Letter to Santa - Additional Child 5 (Upload) You can upload a picture of your letter here, or use the text field above.
Child #6 Additional Child 6 Name*
Additional Child 6 Age* Select Age Infant 1 2 3 4 5 6 7 8 9 10 11 12 13 14+
Additional Child 6 Gender* Select Gender Female Male Self Select (Write In Below)
Input Gender*
Be sure to select what type of toys you want below. Don't skip this step!
What Kind of Toy Would You Like (1st Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
What Kind of Toy Would You Like (2nd Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
Letter to Santa - From Additional Child 6
Letter to Santa - Additional Child 6 (Upload) You can upload a picture of your letter here, or use the text field above.
Child #7 Additional Child 7 Name*
Additional Child 7 Age* Select Age Infant 1 2 3 4 5 6 7 8 9 10 11 12 13 14+
Additional Child 7 Gender* Select Gender Female Male Self Select (Write In Below)
Input Gender*
Be sure to select what type of toys you want below. Don't skip this step!
What Kind of Toy Would You Like (1st Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
What Kind of Toy Would You Like (2nd Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
Letter to Santa - From Additional Child 7
Letter to Santa - Additional Child 7 (Upload) You can upload a picture of your letter here, or use the text field above.
Child #8 Additional Child 8 Name*
Additional Child 8 Age* Select Age Infant 1 2 3 4 5 6 7 8 9 10 11 12 13 14+
Additional Child 8 Gender* Select Gender Female Male Self Select (Write In Below)
Input Gender*
Be sure to select what type of toys you want below. Don't skip this step!
What Kind of Toy Would You Like (1st Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
What Kind of Toy Would You Like (2nd Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
Letter to Santa - From Additional Child 8
Letter to Santa - Additional Child 8 (Upload) You can upload a picture of your letter here, or use the text field above.
Child #9 Additional Child 9 Name*
Additional Child 9 Age* Select Age Infant 1 2 3 4 5 6 7 8 9 10 11 12 13 14+
Additional Child 9 Gender* Select Gender Female Male Self Select (Write In Below)
Input Gender*
Be sure to select what type of toys you want below. Don't skip this step!
What Kind of Toy Would You Like (1st Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
What Kind of Toy Would You Like (2nd Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
Letter to Santa - From Additional Child 9
Letter to Santa - Additional Child 9 (Upload) You can upload a picture of your letter here, or use the text field above.
Child #10 Additional Child 10 Name*
Additional Child 10 Age* Select Age Infant 1 2 3 4 5 6 7 8 9 10 11 12 13 14+
Additional Child 10 Gender* Select Gender Female Male Self Select (Write In Below)
Input Gender*
Be sure to select what type of toys you want below. Don't skip this step!
What Kind of Toy Would You Like (1st Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
What Kind of Toy Would You Like (2nd Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
Letter to Santa - From Additional Child 10
Letter to Santa - Additional Child 10 (Upload) You can upload a picture of your letter here, or use the text field above.
Child #11 Additional Child 11 Name*
Additional Child 11 Age* Select Age Infant 1 2 3 4 5 6 7 8 9 10 11 12 13 14+
Additional Child 11 Gender* Select Gender Female Male Self Select (Write In Below)
Input Gender*
Be sure to select what type of toys you want below. Don't skip this step!
What Kind of Toy Would You Like (1st Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
What Kind of Toy Would You Like (2nd Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
Letter to Santa - From Additional Child 11
Letter to Santa - Additional Child 11 (Upload) You can upload a picture of your letter here, or use the text field above.
Child #12 Additional Child 12 Name*
Additional Child 12 Age* Select Age Infant 1 2 3 4 5 6 7 8 9 10 11 12 13 14+
Additional Child 12 Gender* Select Gender Female Male Self Select (Write In Below)
Input Gender*
Be sure to select what type of toys you want below. Don't skip this step!
What Kind of Toy Would You Like (1st Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
What Kind of Toy Would You Like (2nd Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
Letter to Santa - From Additional Child 12
Letter to Santa - Additional Child 12 (Upload) You can upload a picture of your letter here, or use the text field above.
Child #13 Additional Child 13 Name*
Additional Child 13 Age* Select Age Infant 1 2 3 4 5 6 7 8 9 10 11 12 13 14+
Additional Child 13 Gender* Select Gender Female Male Self Select (Write In Below)
Input Gender*
Be sure to select what type of toys you want below. Don't skip this step!
What Kind of Toy Would You Like (1st Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
What Kind of Toy Would You Like (2nd Choice)?* Art Supplies Balls / Sports Equipment Books Building Blocks / Construction Toys Cars / Other Vehicle Toys Dolls / Barbies Food / Kitchen Toys Games / Puzzles Music Play-Doh / Slime Plushes / Stuff Animals Science Action Figures
Letter to Santa - From Additional Child 13
Letter to Santa - Additional Child 13 (Upload) You can upload a picture of your letter here, or use the text field above.
For Parents Only In order to apply for grants and raise money to continue this charitable project, it can be beneficial to present demographics data for the families that we serve. Providing this information is completely voluntary.
Do you have any children with disabilities living in your household?* Select Option Yes No Prefer not to answer.
Is your household below the Poverty Level (see chart to the right)?* Select Option Yes No Prefer not to answer.
Anything Else?
