Speaker / Program Request Form

SPEAKERS/PROGRAMS

See the Principal to discuss program, get approval and check the calendar.

Speaker:__________________________________________________________________

Topic:____________________________________________________________________

Total Student Body or Classroom_____________________________________________

Gym_________________  Cafeteria________________ Other Area__________________

Permission Slips from Parents (if needed)______________________________________

REQUESTED

Date_______________  Alternate Date________________  Mods or Time_____________

            Approved:____________________________________

            Date:         ____________________________________