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) Date Format: 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* : HH MM AM PM Event End Time* : HH MM AM PM Appearance Start Time* : HH MM AM PM Appearance End Time* : HH MM AM PM Estimated Number of Guests*Average Age of Guests*Location of Event* Indoors Outdoors Onsite Contact at Event*Onsite Contact Phone Number*CAPTCHA