Karen Carr Author

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KAREN CARR AUTHOR VISIT CONTRACT 

Thank you for booking a school visit!  Please verify and complete the following information, sign, and send this form back to me via one of the following methods:  

KAREN CARR, 360 S. Yorktown Pike, Apt C,  MASON CITY, IA 50401

 

Send a PDF via email to carrkm1946.gmail.com

 

SCHOOL NAME: _______________________________DATE OF VISIT: _________

 

SCHOOL ADDRESS:__________________________________________________

 

SCHOOL NAME: _____________________________________________________

 

1SCHOOL ADDRESS: _________________________________________________

 

CITY: __________________________________STATE:  _______  ZIP: ___________

 

SCHOOL TELEPHONE: ______________________ SCHOOL FAX:  ______________

 

TEACHER’S/ORGANIZER’S NAME(s): ______________________________________

 

TYPE OF EVENT: Author Visit – Book reading, coloring pages, meet and greet with students. 

VISIT START TIME:  ___________        END TIME:  _________

PLEASE HAVE AVAILABLE: 

• Screen available for a Power Point presentation 

• Microphone available, prefer wireless (if in large auditorium)

• Table for my props

• Coloring page (provided by author)

  Water

KAREN CARR AUTHOR VISIT CONTRACT   2

THE AUTHOR WILL PROVIDE: Coloring page for the students, Power Point presentation on laptop. 

 

EVENT HONORARIUM   $ ___________         Check made payable to: Karen Carr

 

SCHOOL CONTACT PERSON: ____________________ 

 

TITLE: __________________________ WORK PHONE: ______________________ 

    

CELL PHONE:  ___________________

EMAIL:__________________________________________  

 

Signed:_________________________________   Date: _______________ 

School Representative Sign and Date Below: 

 

Signed: __________________________________ Date: _______________