JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Josh Funk Author Visit Request
Note that Josh's availability is limited. Please fill out this form and someone will be in touch with you. Thank you!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your Name
*
Your answer
Your Email
*
Your answer
What Type of Visit? (check all that apply)
*
In-Person Visit
15 Minute Free Virtual Visit: Q&A
30 Minute Paid Virtual Visit: Read Aloud + Q&A
60 Minute Paid Virtual Visit: Presentation, Read Aloud, and Q&A
Full Day of Virtual Visits!
Required
School / Library / Bookstore Name
*
Your answer
School / Library / Bookstore Address
*
Your answer
City/Town
*
Your answer
State/Province
*
Your answer
Zip Code
*
Your answer
Country
*
Your answer
Grade Levels to Visit
*
Please check all that apply
Pre-K
K
1
2
3
4
5
6
Other:
Required
Which of Josh's books are you interested in discussing? (please be specific)
*
Your answer
Preferred Date(s) for Visit
Your answer
Anything else. Questions? Comments.
Your answer
Check the box below if you'd like to add your email to Josh Funk's author newsletter?
Yes, I want to join the mailing list!
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
