EmailMe Form - Mascot Request Form

Name *

First Last

Email *

Phone *

### - ### - ####

Organization *

Web Site

Name of the event/program you would like Lightning to attend *

Description of the event and expectations of Lightning *

For example: This is a shoe giveaway event for underserved youth. We would like for Lightning to walk around the venue and interact with youth as they pick out their shoes.

Appearance Date *

MM / DD / YYYY

Event/program start time *

HH : MM AM/PM

Event/program end time *

HH : MM AM/PM

Mascot appearance start and end time

If different from event time. For example if the event is from 8 am to 5 pm but Lightning is only needed from 3-5 pm

Is the appearance timeframe flexible *

Yes

No

Maybe

Event/program Location *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Please provide any parking or other logistic information Lightning may need to be aware of ahead of time

Is there a place for Lightning to take breaks and change? *

Yes

No

This must be a separate room/space for Lightning and cannot be a bathroom. For example, an office, classroom, or breakroom.

Day of event point of contact (if different from who submitted the request)

Day of event phone number

### - ### - ####

Day of event email