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 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
Google Internet Search
Yahoo Internet Search
Another Search Engine (please list below)
Your were recommnended to us (please name them below so that we may thank them)
Saw your show in a different venue
Other (please specify below)
....
Will we confirm the date and times asap, usually within 24 hours. Thank you. Your students and staff will be thrilled!