Kinetic Derby Appearance Request
Please use this form to request an event and/or appearance. If you have general comments, questions, or technical issues, please use our feedback form.

Note that requests should be made about 2-3 months prior to your event and form submittal does not guarantee our participation. If you have issues submitting the form, please try another browser such as Chrome.

Email address *
Contact's First Name *
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Contact's Last Name *
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Contact Phone Number *
Your answer
Event Name *
Your answer
Event Venue Name *
Your answer
Event Venue Street Address *
Your answer
Event Venue City *
Your answer
Event Venue State *
Your answer
Event Venue Zipcode *
Your answer
Event State Date *
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Event State Time *
Time
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Event End Date *
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Event End Time *
Time
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Event Website *
Your answer
Expected Number of Attendees *
Your answer
Does event have space for large vessels? *
Please briefly describe the event: *
Your answer
How did you hear about us? *
Your answer
Disclaimer, please read before clicking Submit:
The Menagerie in Motion Kinetic (MiMKinetic) Derby is a volunteer effort with organizational support from the Active Streets Alliance and does not accept payment for appearances. If you would like to make a donation in lieu of payment, please follow this link https://goo.gl/wxMZtM . Our membership consists of volunteers, most of whom hold full-time jobs outside of MimKinetic Derby activities. Our ability to satisfy an event request depends on a number of factors including availability of members, location and time of the event, and the significance of the event.

Events which directly or indirectly benefit the community and/or charity organizations generally receive a better chance of a MiMKinetic appearance than private functions (e.g., birthday parties, weddings). Anyone submitting a request through this form should be someone who has authority of the event and should be over 18 years of age.

Also of note, at the request of the Active Streets Alliance it is the policy of MiMKinetic to refrain from any high speed maneuvers, racing between vessels, or unsupervised vessel rides by the public and in public settings where injuries could occur. Thank you for your understanding.

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