School Show Submission Form School Name * School Address Address 1 Address 2 City State/Province Zip/Postal Code Country School Phone (###) ### #### Contact Name First Name Last Name Contact Phone (###) ### #### Contact Email * Event Date MM DD YYYY Event Time Hour Minute Second AM PM Program Elementary School Junior High High School School Fundraiser Custom (Fill out details below) Special Requests Topics you want to be covered, music requests, etc. We are happy to cater our show to your needs! Thanks for requesting to book Dr. Cool and Pride at your school! We’ll reach out to you as soon as we can!