8/3/2019 North Pole Calling Form 2011

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CITY OF PITTSFIELD PARKS & RECREATION PROGRAM

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NORTH POLE CALLING

North Pole Calling is a program run by the Pittsfield Department of Community Development Parks

& Recreation Program. The purpose of this program is to offer City of Pittsfield children in

kindergarten through second grade an opportunity to speak directly with Santa Claus, or his number

one assistant Mrs. Claus. The Parks & Recreation Program elves would be more than happy to callyour son or daughter and wish him or her Happy Holidays on the evening of Wednesday,

December 14 or Thursday, December 15. Calls will be madefrom 4:30-7:00 p.m.

Due to the large number of calls that Santa will be making, he cannot designate a specific day in

which your child or children will be called. There is a space below where you can request that your

child be called either Wednesday or Thursday night, but we cannot guarantee that he or she will get

called on that night, though every attempt will be made. However, if we cannot call on that night, we

will make an attempt on the second night. Either drop off the form to the box in the City Clerks

Office in City Hall Room 103, or mail it to the Recreation Activities Coordinator in City Hall

Room 205, 70 Allen Street, Pittsfield, MA 01201. DO NOT return the form to your childs

school.

One form per child; please staple all family forms together.

PLEASE NOTE: DEADLINE IS DECEMBER 14th.

PLEASE PRINT CLEARLY AND MAKE SURE CORRECT PHONE NUMBER IS LISTED

CHILDS NAME________________________________________________ BOY_____ GIRL_____ AGE______

PRONUNCIATION OF CHILDS FIRST NAME (If needed) or NICKNAME________________________________

ADDRESS______________________________________________ TELEPHONE___________________________

SCHOOL_______________________________________________ GRADE_______TEACHER________________

Call night: WED._______ THURS______ Has child seen Santa this year? ________ Where/When? _________

GIFTS CHILD HAS REQUESTED GIFTS CHILD WILL RECEIVE

______________________________________ ______________________________________

______________________________________ ______________________________________

______________________________________ ______________________________________

Santa will not reveal to the child exactly what he or she is going to receive. He will only develop a conversation with

the child and try to help discourage extraordinary expectations of the child.

Please circle below examples of the remarks you might like Santa to make, or fill in your own on the line below:

You are nice to help mommy/daddy. Try to go to bed early. Be sure to pick up your room. I hear you have

been very good. Keep up the good work in school.

YOUR REMARKS:______________________________________________________________________________

Friends or relatives you would like Santa to mention:

1___________________________2_________________________3________________________

Dogs name______________________________Cats name________________________