Staff Speaking Engagement Request Form

St. Cloud Rox Staff Speaking Engagement Request Form

Please fill out the information below to submit a Rox Staff Speaking Engagement request. NOTE: We will do everything we can to be a part of your event, but not all requests can be fulfilled, especially once the baseball season starts. Completion of this form is only a request and does not guarantee a guest speaker. All requests must be within a 20 mile radius of the MAC and are recommended to stay within a (1) one hour time frame. Requests are recommended to be made at least (3) three weeks prior to the event. Contact the Rox for more information.

Organization*
Contact Name*
Email*
Cell Phone Number*
Type of Organization*
- Business
- Non-Profit Group
- Church
- Civic
- School
- Individual
Name/Type of Event*
Event Date (mm/dd/yyyy)
MM slash DD slash YYYY
Event Location*
Event Address*
Street Address City State / Province / Region ZIP / Postal Code
Event Sponsor*
Event Description (include information on mascot/guest involvement)*
Event Start Time*

: Hours

Minutes

AM/PM
Event End Time*

: Hours

Minutes

AM/PM
Appearance Start Time*

: Hours

Minutes

AM/PM
Appearance End Time*

: Hours

Minutes

AM/PM
Estimated Number of Guests*
Average Age of Guests*
Location of Event*
- Indoors
- Outdoors
Onsite Contact at Event*
Onsite Contact Phone Number*
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