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School Visit Request Form -- Oklahoma
Welcome educators! I am so excited to visit your school. Please fill out this form to get started.
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* Indicates required question
Your Name
*
Your answer
Your School
*
Your answer
Your School Address
*
Your answer
Your Email
*
Your answer
Alternate contact method
*
Your answer
What type of visit are you hoping to book?
*
Large Group Presentation. Cost $350. Includes: Up to three 45-minute presentations, book signing, optional lunch with teachers and students.
Hands-on workshops. Cost is $100 per session. Sessions last up to one hour, small groups only (up to 25). Choose from these topics: Creating Amazing Characters, Scary Stories 101 or suggest your own.
Other:
Required
Additional comments:
Your answer
What grade levels will Kim be speaking to?
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3rd
4th
5th
6th
7th
8th
Other:
Required
Is your school w/in a 45-minute drive of 73170?
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Yes! Excellent, then you won't owe any additional mileage.
No, but it's within a 1.5-hour drive. In that case, you will need to add mileage at a rate of $0.58 per mile. In addition, you will need to group sessions as close together as possible to allow same-day driving.
No, and it will require an overnight stay. In that case, you will need to add $200 for lodging to your total cost, plus mileage calculated at $0.58 per mile.
Will you have a computer, projector and screen available for the presentation?
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Yes
No
Other:
Where will presentations be held?
Library
Gym
Auditorium
Other:
Clear selection
What is your 1st preferred date?
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DD
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YYYY
What is your 2nd preferred date?
MM
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DD
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YYYY
Thank you!
I will be in touch soon to finalize your visit :)
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