Name *

First Name

Last Name

What kind of visit would you like to book? *

School visit

Library visit

Other

Proposed date of the visit *

MM

DD

YYYY

Alternative Date *

Please give another, back-up date that would work for you in the case of schedule conflict, day-of emergency, etc.

MM

DD

YYYY

How many sessions are you interested in booking me for your visit? *

Please note: for school visits, I require a min of 2 sessions (a half-day).

1 (for non-school visits only)

2

3

4 or more (must book for a full-day and provide a lunch break in the middle)

Will you be ordering books? *

If yes, please include when you'd like me to sign books (before the presentations, after, during lunch, etc.) in the "message" section below.

Yes

No

Would you like me to incoporate a free creative writing activity with the students at the end of each session?

Please note that this will be at the last fifteen minutes of each session. For younger groups (first and second grade), the writing activity will be conducted as a group. Please provide an easel, board, or any other tools (i.e. markers) I can use to lead the activity. Older groups (third grade and up) will work independently and will need their own pencils, papers, and other writing supplies.

Yes

No