Completion of this form is a request only and does not guarantee an appearance.
**All requests must be submitted at least four weeks prior to the event**

* Event date of your appearance request:

Event Date
/
/

* Please fill out the following contact information completely.

* Organization Type:

* Please enter the event address information. This is not the organization's address, but the address where the appearance will potentially take place.

* Contact Information

* Event time of your appearance request:

Event Time
:

* Detailed Event Description: (Please Specify: Who benefits?, Other Celebrities or Dignitaries?)

* Detailed Description of Player's Responsibilities :

T