Request Bananas - Bananas T. Bear

Person Making Request*

First Last

Organization

Phone

Email

Organization's Address

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

Best Method of Contact*

Phone
Email
Mail

Date of Event*

Time of Event*

Event*

Event Description

Event Type*

Event Address

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

Directions to Event

Onsite Contact Person

First Last

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

Preferred Mascot Attire*

Other

Bananas' Safety & Security*

Yes
No

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.

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Phone

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