Referral Form - Army - Santa's Castle

By completing this form, you confirm that you are a Commander, First Sergeant, or Chaplain authorized to refer service members to the JBLM Santa’s Castle program.

For assistance in completing the referral form, please view this short training video:

https://bit.ly/SantasCastleReferralVideo

If you have questions or need additional assistance, please contact Santa’s Castle at Contact Us.

All submissions will be reviewed and verified for compliance with the program.

Santa's Castle Referral Form - Army

This form must be completed by a First Sergeant or someone of higher rank in the referred's chain of command. If there are any discrepancies in the form, the indicated POC will be contacted to confirm that the referral is legitimate. No self-referrals will be accepted. Referral Form Deadline: November 1, 2021.

Section 1: Service Member Being Referred
Fields with an * must be completed in order for the Santa's Castle team to process your referral.
Name of Service Member Being Referred*
ex. PFC John Rico
Rank First Last
Spouse's Name
If applicable, provide the name of the SM's spouse so that s/he can be noted as an authorized representative to pick up toys on behalf of the SM. If you know this is a dual military family, please also provide the spouse's rank. This helps us identify duplicate applications.
Rank First Last
Branch/Unit of Dual Military Spouse
If you know this is a dual military family, provide the branch of service and unit of the SM's spouse. This helps us identify duplicate applications.
Service Member's Personal Email*
DO NOT provide a .mil address.
Service Member's Personal Phone Number*
This should be a cell phone number. We will use this number to contact the SM if we have any questions prior to his/her appointment.
Service Member's Alternate Phone Number
If you know an alternate number for the SM, either a landline or a spouse's number, provide it here.
Service Member's Company*
Service Member's Battalion*
Service Member's Brigade*
Section 2: Dependent Children
Accurate information on the SM's child(ren) helps us ensure we have appropriate inventory.
0 - 12 months
How many infants to age 12 months?
Girls: 12 - 23 months
How many girls, aged 12 - 23 months old?
Boys: 12m - 23m
How many boys aged 12 - 23 months old?
Girls: 24m - 35m
How many girls aged 24 - 35 months old?
Boys: 24m - 35m
How many boys aged 24 - 35 months old?
Girls: 3 years to 5 years
How many girls, aged 3 to 5 years?
Boys: 3 years to 5 years
How many boys, aged 3 to 5 years?
Girls: 6 years to 9 years
How many girls, aged 6 years to 9 years?
Boys: 6 years to 9 years
How many boys, aged 6 years to 9 years?
Girls: 10 years to 13 years
How many girls, aged 10 years to 13 years?
Boys: 10 years to 13 years
How many boys, aged 10 years to 13 years?
Girls: 14 years to 17 years
How many girls, aged 14 years to 17 years?
Boys: 14 years to 17 years
How many boys, aged 14 years to 17 years?
Special Needs Children
If you know that the SM has a special needs child or children, help us be prepared.
Section 3: Referring Individual
Complete all information in this section for the Point of Contact for this referral.
Referrer's Name*
Rank First Last
Referrer's Email*
National Guard and Reserve referrers may want to use a personal email address since military email may only be checked once a month. Santa's Castle may need to contact you to clarify information or need your assistance contacting the referred Service Member at any time between application submission and toy distribution (October - December).
Referrer's Company*
Referrer's Battalion*
Referrer's Brigade*
Referrer's Duty Phone*
Referrer's Cell Phone*
Section 4: Validation and Electronic Signature
This program is NOT designed to be a supplement, gift, or benefit, but is for Service Members in financial crisis. By submitting this referral form, you are electronically agreeing that you have the right to refer a Service Member and understand that this will be confirmed before the referral is accepted for review by Santa's Castle.
Reason for Financial Difficulty*
Check all relevant boxes.
- AER Loan
- Significant Medical Expenses
- Number of Dependents
- Other (please explain below)
Other
Electronic Signature of Referring Individual*
Type in your legal name with military title. This is your electronic signature.

Referral Form – Army

Santa's Castle Referral Form - Army

Section 1: Service Member Being Referred

Section 2: Dependent Children

Section 3: Referring Individual

Section 4: Validation and Electronic Signature

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