Ms. Kim's Amazing Animals Program Request
Thank you for inquiring about my live animal programs:)
Please fill out the form below if you would like more information about my programs. Once I have all your information I will get back to you with availability and pricing. Thank you:)
Contact Name
First Name
Last Name
Name of Business/School/Troop(if applicable)
Phone Number
Email
example@example.com
Re-Enter E-mail Address
example@example.com
What type of program are you interested in?
Library
School
Scout program
Corporate event
Birthday Party
Assisted Living/Senior
Child Care Center
Other
Are you looking for...
A single program
Multiple programs at the same location on the same day
Multiple programs at different locations
Animal display
Other
If looking for an in-person program please provide the zip code of where the program would be held. My fee is determined by the location that I would need to travel to.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you looking for a specific date? If so, when?
-
Month
-
Day
Year
Date
Have you seen my program before?
Please Select
Yes
No
No, but my child has:)
If so, where?
Is there anything else that you feel is important for me to know?
I will do my best to honor all requests, however filling out this form does NOT guarantee that I am available for the date requested.
Submit
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