To schedule an appearance by Walter the Giant Storyteller, you may choose to fill out this online Request for Appearance form or print it out and fax it in to the administrative office. Please note that any information you submit on this form (no matter how you send it in) is kept confidential. Rest assured that we do not sell, lend, give away or otherwise distribute our mailing list. Filling out the online form does NOT constitute a formal agreement. This step merely simplifies the scheduling process, as your responses are forwarded electronically and automatically to the administrative office for prompt action. Be sure to include current contact information! Kind of venue or institution: School Public Library Private Library Bookstore Name of venue: Location address: (Line 1) (Line 2) City State ZIP Mailing address (if different): (Line 1) (Line 2) City State ZIP Organizer's Name: Organizer's Title: Daytime phone: Evening phone: Principal or Director's Name: Secretary or Administrative Contact's Name: Venue phone: Venue Fax: Venue email: How many different sessions or assemblies are you considering at this venue? Please tell us a bit about the attendees at this venue: Grade and/or Age levels: Preschool or Age 2-5 How many? K or Age 5-6 How many? 1st-2nd grade or Age 6-8 How many? 3rd-4th grade or Age 8-10 How many? 5th-6th grade or Age 10-12 How many? 7th-8th grade or Age 12-14 How many? Adults How many? For Schools-- Please tell us a bit about your school's student population: What portion of your students receive free/reduced-cost lunches? % Does your school qualify for Title I funds? Yes No If Yes, how many students participate? % What portion of your students have limited English proficiency (LEP)? % Do you mainstream physically or educationally handicapped students? Yes No If so, will they be in attendance for Walter's visit? Yes No What is the turnover percentage of your student population? % Requested Dates If we are unable to accommodate your request, would you like to request alternatives?Yes No Please be specific regarding season, month, and/or day of week: Type of Program: Student Assemblies Staff In-service Parent Presentation Other Other?: Time Schedule (Walter needs at least 10 minutes between presentations): Are there Special events (e.g., bookfair, young authors program), seasonal themes, or curriculum goals of which we should be aware: Does your institution require a Purchase Order? Yes No (Be advised that payment is to be mailed to the Administrative Office address no later then the day of Walter's appearance.) Do you need promotional materials mailed in advance? Yes No If you want promotional material for flyers, newsletters, or posters, please indicate which items would be most useful for you: Black-and-white glossy photograph Velox copy of the WGS logo Biography Bibliography pertaining to the books performed and discussed at your event Bibliography of recommended titles for reading in the classroom Bibliography of recommended titles for reading at home We have found that many community newspapers and broadcast media are quite interested in covering Walter the Giant Storyteller's school and library appearances. While not all such appearances are appropriate for coverage, should yours be one that is appropriate do you have contact with your area's media? Yes No If so, would you please provide us with names and affiliations? We would be happy to help with press relations. Please do ask ANY questions you have! Our goal is to provide you and your audience with the best possible individually-tailored programming. Oops...Let me start over: Finished? Please click the button below to submit the form: For additional info, or if this form fails to function properly, please contact Walter's administrative office: San Diego, California 760-752-9973 fax: 760-744-9273 email: kvhwgs@aol.com