Please provide the following information to make a request for a cheerleader appearance

Contact First Name
Contact Last Name
Contact E-mail Address
Organization Name
Organization Type	Please Select Business Charity Church Civic Other
Tax Exempt # / 501(c)(3)#
Contact Telephone
Fax
Address 1
Address 2
City
State	Please Select Iowa Kansas Missouri Nebraska Oklahoma
ZIP/Postal Code
Event Name
Event Date and Time
Cheerleader’s Responsibility (i.e., speech, autographs)
Event Sponsor/Underwriter
Event Location
Event Address
Event Phone
On-Site Contact
Event Description (Please be as specific as possible: who benefits, what the cause is.)
Enter Code: