Thank you so much for allowing me the opportunity to bring one of my character education assemblies to YOUR school!

Using these few questions now, I can save some of your valuable time and get started putting together the schedule and details for YOUR assembly.

Please call or email any time of you have questions or wish to clarify something.

If you prefer, you can print out a blank form HERE gather the information and give me a call. It only takes a few minutes for us to plan how to best bring your students one of my special assemblies.

Questions marked with a red asterisk * must be answered for this form to function.

Your name and title: *
Your school’s name: *
Your e-mail address: *
Your address: *
Your city, and zip: *
Your phone number: *
Your School District and County: *
Which assembly are you interested in, and when would it be?: *
How many students and what grades do have at your school?: *

 
What type of room will the assembly be in?: *
Gym.           Auditorium.            Cafeteria.
Combo Gym-Auditorium.            Combo Auditorium-Cafeteria.            Combo Gym-Gafeteria.
Combo Gym-Gafeteria-Auditorium.

NOTE: It is essential that there be no students in the performance area during set-up and tear-down.
No one is permitted in the backstage area at any time.
IF THE ASSEMBLY WILL BE IN THE CAFETERIA, OR COMBO WITH CAFETERIA: What time do the custodians start setting up for lunch?:

What time is lunch clean-up finished?:

NOTE: I can certainly set up, or tear down as the case may be, during that time. And I find that the custodians appreciate it if they know that ahead of time.
Is there a stage?: *
No. - That's okay. I can set up on the floor just as well.
Yes. - Please make sure it is clear and clean prior to my arrival. If YES, does the stage have a closeable curtain?:
No.
Yes.
If YES, does the curtain work?:
No.
Yes.
NOTE: It is okay if there is no curtain, or if it dosen't work. But I must know now in order to help schedule, and plan for the possible need for extra equipment.
 CRUCIAL NOTE: If the assemblies will be in the CAFETERIA, or combo with cafeteria, and SPANNING LUNCH PERIODS, it is essential that there be a curtain or room divider that can be closed during lunch, separating the assembly set-up from the lunch group.

 
In the morning, what is the earliest time the students could be called to enter the assembly room?: *

In the morning, what time do the students need to be in their homerooms to be called to lunch?: *

 
What is the earliest time after lunch the students could be called to enter the assembly room?: *

What time do the students need to be in their homerooms to be called for dismissal?: *

 

Please include any other information that will help make things easier for BOTH of us.

 
Thank you again for allowing me the opportunity to bring my
character education assembly to YOUR school!

The "send" button will send this form to me via email. After sending this form, the "after button" will allow you to return to my "Elementary School" page.

I will call you as soon as possible to help schedule your assembly and explain about the teacher packets, CDs, booklets, etc. that you'll receive a couple of weeks prior to the assembly.