Chum Appearance Request

Chum Appearance Request

Contact Name *

Company Name

Contact Phone Number *

Contact Phone Number (Day of Event) *

Contact Email Address *

Name of Event *

Date of Event *

Event Start Time *

Event End Time *

Designated Start Time for Chum *

Location/Address of Event *

Type of Event *

Other Event Type

Age Group *

Approximate Crowd Size *

Indoor/Outdoor *

Additional Comments