WLBT School Visit Requests

Name of School*

Address of School*

Event Location and Address*

What grades and how many students total?

What months(s) would you prefer a visit?*

Any time of day that does NOT work?

Contact Person Email*

example@example.com

Contact Person Name*

First NameLast Name

Contact Phone Number for Day of the Event?*

Please enter a valid phone number.

Special Notes

School represents and warrants that the parent(s)/guardian(s) of all students who participate in a First Alert Weather School Visit have executed media releases permitting the use of a student’s name, image, voice and any other identifying feature, in all media owned or operated by WLBT, WDBD, its employees and affiliates.

By submitting this form, you agree you are over 18 years old and have read Gray Local Media, Inc.'s Standard Terms and Conditions at http://gray.tv/terms.pdf and Privacy Policy and agrees to those terms in full.

Your Date of Birth*

You must be at least 18 years old to fill out this form.

I agree to the Terms and Conditions