NEXT GAME | Thursday, December 9 @ North Bay Battalion (7 PM) | Catch all the action on Rock 101 (101.3 FM) or Shaw Spotlight

Public Appearance Requests

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NOTE – Completion of this form is a request ONLY and DOES NOT guarantee team participation.

** DUE TO THE LARGE NUMBER OF REQUESTS, ONLY APPROVED EVENTS WILL BE NOTIFIED.

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Public Appearance Request Form

Request for:*
- Player(s)
- Entire Team
- 'Dash' - Mascot
Type:*
- Charity
- School / Educational Institution
- Business
- Other
Organization/Group Name:*
Contact Name:*
Daytime Phone Number:*
Cell Phone Number:
Contact E-Mail Address:
Event Name:
Address of Event:*
Street Address City State / Province / Region
Event Date:*
Event Start Time:*

: HH

MM
Length of Event:*
Event Description:*
Player Function:*
(e.g. autographs, public speaking, reading, visiting)
Anticipated Audience Size
Anticipated Age Range of Participants:
Anything else you care to ad in regard to your submission: