Appearance Request Form for Sammy Sea Gull

Appearance Guidelines:

(please review before submitting request form)

• Periodic breaks are required and water must be provided.
• Must provide a private and secure place for changing and that can be used as a break room.
• Must provide parking for the performer.
• Appearance fee is $50/hour for community events and $12.50/hour for campus events. Travel fee will be added if over 30 minute drive.
• Agreed upon payment amount must be made at least 3 days prior to event date.
• Minimum of one hour appearance time required.
• SU cannot guarantee that each requested appearance will be filled. Priority is given to SU’s own events.
• Sammy never speaks in public, nor is he ever seen partially costumed. The performer’s identity will remain a secret. Sammy cannot be photographed with any alcohol or illegal substances.

Appearance Request Form:

Your information

Your organization:
Contact name:
Contact phone:
* Contact email:
On-site phone:

Event information

Event date:	MM 01 02 03 04 05 06 07 08 09 10 11 12   / DD 01020304050607080910111213141516171819202122232425262728293031   / YYYY 2013201420152016
Event time:	From: Hour 01 02 03 04 05 06 07 08 09 10 11 12 am  pm     To: Hour 01 02 03 04 05 06 07 08 09 10 11 12 am pm
Event location:	Address: Address2: City: State:   Zip:
Event Description:
How many attending?
Anticipated age range:

Description of Event and Sammy’s role at event:

Any special requests or information regarding event or audience Sammy needs to know? (i.e. physical activity, special needs, etc):

Submit

	Enter number on the left (required)
By submitting this form, the requesting organization agrees to comply with all aforementioned guidelines.