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* Indicates required field

Your Name *

First

Last

Email *

Name of School or Organization *

School District (if applicable) *

Your Title or Affiliation with School or Organization *

School or Organization Street Address (the actual location, not a PO Box please) *

City *

State *

Zip code *

Best Phone Number to Reach You Directly *

Additional Phone Number for you? *

School or Organization Office Phone *

School or Organization Fax *

School or Organization Website *

Rough estimate of the number of teachers in the school (if applicable) *

Rough estimate of the number of students in the school (if applicable) *

Grade levels of students in the school (if applicable) *

School Principal (if applicable) *

Librarian/Media Specialist (if applicable) *

Is there an additional person we can contact if needed? *

That Additional Person's Phone *

That additional person's e-mail *

When are you interested in Kevin visiting your school or organization? *

Here's a link to Kevin's Presentations and shows: http://kevinkammeraad.weebly.com/presentationsshows.html (will pop up in another window)

What presentations and/or shows are you interested in? *

Ideas are Everywhere A Curious Glimpse of Michigan Is it Possible? Professional Development A Variety of Puppet Vignettes in G-Major Can You Think It? Can You Dream It? Poetry, Puppetry, Music, and More! Songs Around the World The Winter Wonderland Puppet Concert Move to the Music Simply Kevin Web Sessions I'm Gonna Let it Shine Street Performing Other

Please tell us your goals/idea/reason for scheduling a presentation or show with Kevin: *

How many kids do you estimate you'd like to be part of the presentations and/or shows? *

Do you know how many presentations or shows you'd ideally like? *

How did you hear about Kevin? *

Additional information you'd like us to know? *

Questions for us? *

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Programs
Books
Music
Cast and Crew
More