Seminar Request Form

Potential Date #1:
MM slash DD slash YYYY
Potential Date #2:
MM slash DD slash YYYY
Recruiting Seminar Time:

: Hours

Minutes

AM/PM
Staff Development Time:

: Hours

Minutes

AM/PM
Location (Auditorium etc.)
School Name:
School Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
# Students in grades 9-12:
Who are you?
Name:
First Last
Office Number:
Cell Number:
Best time to call:
Your Email:
Secretary Name:
First Last
Secretary Email:
League/Conference:
# of schools invited:
Closest Airport:
Distance from airport to school:
Athletics Twitter Page (@username):
Athletics Facebook Page (page name):
Athletics Instagram Page (@username):
Are you capable of sending emails to your parents?
- Yes
- No
Do you have a robocall system for making automated calls to your families?
- Yes
- No
Office Use Only
Form submitted by:

Office Use Only