Contact Information

First Name

Last Name

Email Address

Cell Phone
This number will be used if contact is needed the day of appearance.

Appearance Information

Who do you want at your appearanceEntire Team
Team Members (specify # of members: )

Date of appearance

Time of appearance

Time for Team members to be available and ready am pm

Appearance Length15-30 minutes 30-45 minutes 1 hour   Other:

Event Information

Sponsoring organization/ department/group

Non-profit organizationYes No

Event name

Event description

Event venue

Event location

Address City

Estimated drive time from campus
*if outside of St. Cloud

Special instructions/notes