Your Contact Info
Name:
*
Title/Position
E-mail:
*
Phone:
Your School
School Name:
*
School Address:
*
City:
*
State:
*
Zip Code:
*
School phone (if different than above)
Your Assembly
Which assembly program would you like?
*
Anger Management
Good Character
Good Nutrition
Just Say No (Drug Abuse)
No Bully
Just for Fun
How many shows will you be needing?
*
1
2
3
4
Date: (First Choice)
Date: (Second Choice)
Date: (Third Choice)
Time/Times
*
Grade Level of Audience
Finally
How will you like to pay for this? Note: The fee is not due until AFTER the show and you are 100% satisfied.
*
Purchase order
Check
Paypal (to kennorthridge@comcast.net)
How would you like your confirmation letter delivered?
*
School Address (as above)
Email (as above)
Please see the box below
Any additional information we need to know?
How did you find out about us?
Received a mailing
Previously saw your shows
Internet Search
Will we confirm the date and times asap, usually within 24 hours. Thank you. Your students and staff will be thrilled!