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.

Concerns or questions, please contact Santa’s Castle directly.

All submissions will be checked and fraudulent submissions will be pursued with the proper authorities.

Santa's Castle Referral Form - Army

Section 3 & 4 of this form must be completed by 1SG or higher rank in the referred's chain of command. This will be confirmed before submission is accepted for review by Santa's Castle. Non-confirmed, late or incomplete forms will NOT be processed. Referral Form Deadline: NOVEMBER 8, 2019.

Section 1: Service Member Being Referred
Please note that those fields with an * MUST BE completed in order for the Santa's Castle staff to process your application. Please fill in as many fields as possible as more information is better than not enough.
Name of Service Member Being Referred*
ex. PFC Jon Snow or 1LT Lily Aldrin
Rank First Last
Confirm Last Name*
Last Name Only
Last
Grade of Service Member*
ex. E-3, 0-1
Spouse Name (if applicable)
IF THE SPOUSE IS MILITARY, please help us identify dual military families by entering the spouse's name and rank below. Also, below the spouse's name, please list the unit with whom the spouse is serving. This helps us to identify duplicate applications submitted from other units. IF THE SPOUSE IS NOT MILITARY, please enter their name so that they may be noted as an authorized representative to pick up the toys on behalf of the Service Member.
Rank First Last
Unit of Dual Military Spouse
Service Member 's Personal Email (No Work Email)*
Enter Email Confirm Email
Service Member's Home Phone (Personal Cell Phone if No Land Line)*
Service Member's Personal Cell Phone*
Company Name*
e.g. A Co, Maintenance Co,
Battalion*
Brigade*
Section 2: Dependent Children
All information must be verified by Service Member.
How many total children will you be using Santa's Castle to shop for?
This does not automatically qualify you or disqualify you for assistance.
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 - Help us be prepared
Section 3: Referring Individual
Complete all information in this section. This will be the point of confirmation for this referral.
Rank*
Referrer's Name*
Rank First Last
Referrer's Email*
National Guard and Reserve referrers may want to use your personal Email as you may only see your military Email once a month. Santa's Castle may need to contact you to clarify information or may need your assistance to contact the referred Service Member at anytime between application submission and toy distribution (October - December).
Enter Email Confirm Email
Company*
Battalion*
Brigade*
Duty Phone*
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*
Please Check the appropriate box.
- AER Loan
- Significant Medical Expenses
- Number of Dependents
- Other (please explain below)
Other
Electronic Signature of Referring Individual*
Please 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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