Modoc Family Gathering Gifts

Please provide information that will assist Modoc Nation and Santa in picking out the perfect gift(s) for your children.

*For gifts for children (0-18 yrs), gifts can be up to $50.

NO GIFT CARDS will be issued, a physical gift must be selected.

This will need to be submitted by 11/20/25

Parent/Guardian Information

First and Last Name

Phone Number

Mailing Address

Please list your child’s 1st, 2nd, and 3rd choice for a gift worth up to $50 at Miami, Oklahoma, Walmart (be as specific as possible):

First and Last Name (child 1)

D.O.B.

Modoc Roll Number

Gender M/F

1st Gift Choice

2nd Gift Choice

3rd Gift Choice

First and Last Name (child 2)

D.O.B.

Modoc Roll Number

Gender M/F

1st Gift Choice

2nd Gift Choice

3rd Gift Choice

First and Last Name (child 3)

D.O.B.

Modoc Roll Number

Gender M/F

1st Gift Choice

2nd Gift Choice

3rd Gift Choice

First and Last Name (child 4)

D.O.B.

Modoc Roll Number

Gender M/F

1st Gift Choice

2nd Gift Choice

3rd Gift Choice

First and Last Name (child 5)

D.O.B.

Modoc Roll Number

Gender M/F

1st Gift Choice

2nd Gift Choice

3rd Gift Choice

*Must attend to receive gift and failure to attend may cause ineligibility in future events.