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To Robbie Breaux & Team

Requested By: __________________________


Please also note your relationship to the child or put the name of the childs elf on the shelf so we can reference it in the letter from Santa.

Name: ____________________________________________ Circle One: Boy Girl


Address: _________________________________________________ Age: ________
Relationship to Child: __________________ Elf on Shelf Name: __________________

Name: ____________________________________________ Circle One: Boy Girl


Address: _________________________________________________ Age: ________
Relationship to Child: __________________ Elf on Shelf Name: __________________

Name: ____________________________________________ Circle One: Boy Girl


Address: _________________________________________________ Age: ________
Relationship to Child: __________________ Elf on Shelf Name: __________________

Name: ____________________________________________ Circle One: Boy Girl


Address: _________________________________________________ Age: ________
Relationship to Child: __________________ Elf on Shelf Name: __________________

Name: ____________________________________________ Circle One: Boy Girl


Address: _________________________________________________ Age: ________
Relationship to Child: __________________ Elf on Shelf Name: __________________

Name: ____________________________________________ Circle One: Boy Girl


Address: _________________________________________________ Age: ________
Relationship to Child: __________________ Elf on Shelf Name: __________________

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