Wild Man Dan Submissions

This form is a request only and does not guarantee availability. Please select your preferred date and time, and Dan will do his best to accommodate your request.

If the requested date is already booked, Dan will contact you to confirm availability or suggest alternative dates or times. All shows are confirmed only after direct communication.

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Email *
Type of event (School, Library, County, Church, etc.) *
Whats The Ocassion?
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Name of organization or contact person *
Phone Number *
Email Address *
Address for the presentation *
Number of Participants (adults and kids) *
Number of presentations requested
Number of hours (if applicable)
Proposed date(s) *
Notes or special requests
Submit
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