KAREN CARR

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, 329 19TH ST SW, MASON CITY, IA 50401

Send a PDF via email to storylady@netconx.net

 

SCHOOL NAME: _______________________________DATE OF VISIT: _________

 

SCHOOL ADDRESS:__________________________________________________

 

SCHOOL NAME: _____________________________________________________

 

SCHOOL 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 large assembly

• Table for my props

• Coloring page (provided by author)

  Water

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                                                                     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: ________________________________