Request for Kids on the Block presentations

School*
County*
Promo Code
Thanks to our funders at United Way of Rutherford and Cannon Counties, we're able to provide you with the presentations at no cost to your school
Thanks to the Nashville Predators Foundation, we're able to provide Fort Campbell Schools with presentations at no cost to your school.
Please note that there will be a $150 travel fee for your school.
Please note that there will be a $175 travel fee for your school.
Contact Person*
Your Name*
First Last
Position*
Phone Number*
Email*
Three Possible Dates (Tuesday-Wednesday):
Date 1*
Date 2*
Date 3*
Program selections (select up to 3):

Selection 1
Topic*
Select grade*
Select grade*
Start Time*

: Hours

Minutes

AM/PM

Please allow 15 minutes between presentations with no more than a 60 minute break.
# of classes*
# of students*

We recommend a maximum of 150 students per presentation.
I would like to schedule another presentation:*
Selection 2
Topic*
Start Time*

: Hours

Minutes

AM/PM

Please allow 15 minutes between presentations with no more than a 60 minute break.
# of classes*
# of students*

We recommend a maximum of 150 students per presentation.
I would like to schedule another presentation:*
Selection 3
Topic*
Start Time*

: Hours

Minutes

AM/PM

Please allow 15 minutes between presentations with no more than a 60 minute break.
# of classes*
# of students*

We recommend a maximum of 150 students per presentation.
I would like to schedule another presentation:*
Selection 4
Topic*
Start Time*

: Hours

Minutes

AM/PM

Please allow 15 minutes between presentations with no more than a 60 minute break.
# of classes*
# of students*

We recommend a maximum of 150 students per presentation.
Supervision provided by (check one):*
Performance location (quiet rooms such as a library are best):*
How did you hear about us?*
Please tell us who referred us.*

We would love to give them an extra hug.
Tell us how you did hear about us.*

We would love to give them an extra hug.
Additional Comments

Thanks to our funders at United Way of Rutherford and Cannon Counties, we're able to provide you with the presentations at no cost to your school

Thanks to the Nashville Predators Foundation, we're able to provide Fort Campbell Schools with presentations at no cost to your school.

Please note that there will be a $150 travel fee for your school.

Please note that there will be a $175 travel fee for your school.

Three Possible Dates (Tuesday-Wednesday):

Program selections (select up to 3):

Selection 1

Selection 2

Selection 3

Selection 4

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