Presentation Request Form

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Presentations
About
Contact

Please Complete the Write Your Story Presentation Request Form Below

This form is simply an expression of interest, not a commitment, and no payment information is needed. It helps us connect to explore the best option for you & your students!

School Name

Presentation Package Requested

Assembly Style: One presentation of 75-250 students Full Day: Four presentations with max of 35 students per/pres Half Day: Two presentations with max 35 students per/pres Single Presentation: One presentation with max 35 students Not Sure Yet! Let's chat about it

Grade Level (Select all that apply)

Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 Other

Approx. # of Students per Presentation

Preferred time of year for the presentation

Interested in adding copies of Chris' poetry book for your students?

Individual Copies ($10/book) Classroom Set ($150 for 25 copies) No books (Just presentation!) Not Sure Yet!

If you selected "Individual Copies," how many?

First Name

Last Name

Contact Email

Request Agreement

I understand this is a request only and does not commit me or guarantee a presentation time. I also acknowledge that fulfillment is subject to availability, with less flexibility for travel outside the HRM.

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