Letters From Santa
Share the Magic of Christmas with Letters from Santa,
and Help Fight Childhood Cancer
Sponsored by the  New Hope Women of Today
Create wonderful holiday memories, while at the same time
helping to fight childhood cancer.  For
your donation of only $5, the week before Christmas Santa will send the special
child in your life a letter postmarked from the North Pole!  No two letters are alike, because Santa and
his helpers use the information that YOU provide to write personalized letters
that children will remember for years to come.
Orders and payments must be received by DECEMBER 1ST to arrive before Christmas.
(For
orders received past the deadline, Santa will send a letter telling about his
visit to your child on Christmas Eve…
 …sorry, but no refunds will be
given for orders that arrive late)
Send one form for each letter (located on the back of this sheet) along with payment to:
Make checks payable to: 
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New
  Hope Women of Today 
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Mail form(s) and $5 per letter to: 
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Diane
  VanDierendonck 
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“That Guys Letter” 
 | 
 |
 3804 31st Avenue N. 
Robbinsdale,MN
  55422 
 | 
 
For more information or questions, please contact    Diane
VanDierendonck  @ 763-521-7457, dhvandi@gmail.com or Karen Potter @  763-780-5499, karenpot@centurylink.net
How did you learn about our Letters from Santa
program? ____
Your email address / phone number so we can
contact you next year: _______________________________________________
SANTA
NEEDS YOUR HELP!
To help Santa, please
complete the form below (one form per letter)
(NOTE:  Not all information provided
will be used in all letters.  However, the
more information you provide, the better the letter will be!)
SENDER’S INFORMATION: 
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  ||
Your Name: _________________________ 
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Your Phone # (in case Santa has questions!): 
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Your Address: ________________________ 
____________________________________ 
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___________________________________ 
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Your relation to child: ____________________________________ 
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What does child call you? __________________________________ 
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CHILD’ INFORMATION: 
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  ||
Child’s Name / Nickname:  
____________________________________ 
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 What does child call his/her
  parents? 
__________________________________ 
 | 
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Age: ________   
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Brother(s) / Sister(s) Names & Ages: 
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Names & Types of Pet(s): 
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___________________________ 
  ________ 
___________________________ 
  ________ 
___________________________ 
  ________ 
___________________________ 
  ________ 
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______________________ 
  ___________ 
______________________ 
  ___________ 
______________________ 
  ___________ 
______________________ 
  ___________ 
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Name of School: ______________________ 
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Name of Teacher: ____________________ 
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Names of Best Friends: 
___________________________________ 
___________________________________ 
___________________________________ 
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Favorite Things (i.e. toy, activity, sport): 
__________________________________ 
__________________________________ 
__________________________________ 
 | 
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Good Behavior or Achievements: 
__________________________________ 
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Behavior to Improve: 
__________________________________ 
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One gift child WILL receive from Santa: 
__________________________________ 
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Gift child WILL NOT receive from Santa? 
__________________________________ 
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SPECIAL CIRCUMSTANCES
  THIS YEAR THAT SANTA SHOULD KNOW ABOUT: 
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       Baby’s First
  Christmas               Child is a
  Non-Believer             No chimney for
  Santa 
 | 
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       Child won’t be at home
  for Christmas           Parent(s) will
  not be with child for Christmas 
 | 
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Changes in Family (births/deaths/illness/divorce):
  _________________________________ 
__________________________________________________________________________ 
__________________________________________________________________________ 
 | 
 ||
Did child write to Santa this year? 
______________________________ 
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Did child visit Santa this year? _________ 
Where? ___________________________ 
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Will child be leaving anything for Santa?
  _________________________________________ 
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Anything else Santa should know?
  ______________________________________________ 
__________________________________________________________________________ 
__________________________________________________________________________ 
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Child’s
  Name: ______________________________ 
 | 
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Mail Child’s Letter To: 
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 c/o (if
  applicable):
  ____________________________ 
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(Please print clearly!) 
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Street:   ___________________________________ 
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City / State
  / Zip: ____________________________ 
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