Application to Appear in a Granpa Cratchet Video

Application to Appear in a Granpa Cratchet Video
Contact Person Information
Contact Person Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Child Information
Child Information
How are you participating?
- Club Info
- Club Name
- Club Location
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Club Leader Name
  
  First NameLast Name
- Club Leader Email
  example@example.com
- Club Leader Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- What show format are you interested in? (Choose one or two if you want)
- Describe your project/ animal (If applicable)
  Please be specific on what objects or type of animal you will be bringing.
- What adult(s) would come with you?
  
  Other (Please describe who else may come)
- When would be the best time for you to come to Studio A? This is NOT the final date. This helps us plan, but the final date will be confirmed later.
  Month
- Day of Week
- Time of Day (Choose any that work well)
- School Info
- Home School Area # (If available)
- What show format are you interested in? (Choose one or two if you want)
- Describe your project or what subject you would like to talk about. (If applicable)
  Please be specific on what objects you will be bringing.
- What adult(s) would come with you?
  
  Other (Please describe who else may come)
- When would be the best time for you to come to Studio A? This is NOT the final date. This helps us plan, but the final date will be confirmed later.
  Month
- Day of Week
- Time of Day (Choose any that work well)
- What show format are you interested in? (Choose one or two if you want)
- Is there anything special you would like to talk about or do in the video? (Present a project, talk about a subject, celebrate a birthday, etc) If so, please describe below.
  Please be specific if you are bringing objects to present for show and tell.
- What adult(s) would come with you?
  
  Other (Please describe who else may come)
- When would be the best time for you to come to Studio A? This is NOT the final date. This helps us plan, but the final date will be confirmed later.
  Month
- Day of Week
- Time of Day (Choose any that work well)
- Should be Empty:

Application to Appear in a Granpa Cratchet Video

Contact Person Information

Child Information

Club Info

School Info