Classroom Booking Request Form
Thank you for booking a presentation with a Brown County Dairy Ambassador. Please complete this form in its entirety so we can properly schedule your class for its program! Use the final comments for any special instructions you have for your presenter so they are prepared for your class (ie: special parking instructions, special needs in the classroom, food allergies, etc).

Please complete one form for each booking day.

SCHOOL INFORMATION
School District
School Name
Your answer
School Street Address
Your answer
School City
Your answer
Contact Person Name
Your answer
Contact Person Email
Your answer
Contact Person Phone
Your answer
PREFERRED DAY OF THE WEEK & TIMES
First Choice Date
MM
/
DD
/
YYYY
First Choice Time
Time
:
Second Choice Date
MM
/
DD
/
YYYY
Second Choice Time
Time
:
Third Choice Date
MM
/
DD
/
YYYY
Third Choice Time
Time
:
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