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Bananas Request Form

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Bananas T. Bear
Bananas Request Form

Bananas Request Form

Thank you for showing interest in having Bananas attend your event! Please fill out the following fields with as many details as possible.

REQUESTOR CONTACT INFORMATION

Name *

Name

First Name

First Name

Last Name

Last Name

Organization

Phone

Email

Organization’s Address

Street Address, Address Line 2, City/State/Province, ZIP/Postal Code, Country

Best Method of Contact *

Phone

Email

Mail

EVENT DETAILS

Event Name *

Event Description

Date of Event *

Time of Event *

:

Event Type *

Event Address

Street Address, Address Line 2, City/State/Province, ZIP/Postal Code, Country

Directions to Event

Onsite Contact Person

Onsite Contact Person

First Name

First Name

Last Name

Last Name

Onsite Contact Person Phone

Audience Size

Age Range of Audience

What would you like Bananas to do?

Sign Autographs

Performing for a Group

Fundraising

Greeting Guests

Available for the Media

Passing out Flyers

Posing for Pictures

Other

Other

MASCOT ATTIRE

Preferred Mascot Attire *

Other Attire *

SAFETY & SECURITY AGREEMENT

A friendly and safe environment must be maintained. Bananas T. Bear and his caretakers reserve the right to walk away from any appearance they feel is unsafe or harmful. Refunds (if applicable) will not be granted. I verify that I have read and agree to Bananas’ Safety and Security Appearance Request policy.

I agree the terms of the safety and security agreement *

Yes

No

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If you are human, leave this field blank.

Orono, Maine
207.581.1865

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