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To request an author or illustrator visit, fill out the form and click the submit button.

If you prefer to fax the form, please print the form and send it to (510) 232-3156.

As soon as we receive the completed form, we will contact the author or illustrator for more information before confirming her/his availability with you and finalizing plans for a visit to your school or site.


Today's date:

Contact name:

School or other site name:

Mailing address:

Phone number:

Best times to contact:

Fax number:

E-mail address:


Please list the authors or illustrators in order of your preference for their appearance:
1.
2.
3.

Please list three dates or three series of dates you would like an author or illustrator to visit your school or site. (Remember that many children's authors or illustrators already have scheduled appearances three to six months or more in advance:
1.
2.
3.

Types of presentations: Briefly describe what you would like the author or illustrator to do during the visit (for instance, a presentation and author signing for K-3 grades in two groups; or a writing workshop for 30 5th and 6th grade students)


Please provide the following details about your audience:
Average number of children in each presentation:

Grade levels of children in each presentation:

Number of presentations author or illustrator will make:

Length of each presentation
(this may differ depending on the age of the group):

Do you have any questions, concerns, or special requests?
 

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