School Visit Request Form -- Out-of-State
Welcome educators! I am so excited to visit your school. Please fill out this form to get started.
Your Name *
Your answer
Your School *
Your answer
Your School Address *
Your answer
Your Email *
Your answer
Alternate contact method *
Your answer
What type of visit are you hoping to book? *
What grade levels will Kim be speaking to? *
Required
Will you have a computer, projector and screen available for the presentation?
Where will presentations be held?
What is your 1st preferred date?
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What is your 2nd preferred date?
MM
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DD
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YYYY
Thank you!
I will be in touch soon to finalize your visit :)
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