Please complete this request form with detailed information relating to an appearance by the
Saint Paul Senior Royalty Winter Carnival Royal Family. PLEASE RETURN COMPLETED FORM VIA mail to
SRAA, Royal Coordinators
PO Box 3632
St Paul, MN 55101
or email as an attachment to:
Days and times that visits will be made by the Senior Royalty Family are subject to availability.
Gwendolyn Jefferson, Lupe Lopez, Dorothy Drake– Royal Coordinators / Request #
Your Name, Phone, Email / Name
Phone
Today’s Date
Activity/Event
Description, reason for appearance
Preferred Date /Time
Alternate Day / Time
Address of Event (Venue,
Street address, City, Zip Code)
Specific Location of Event
(i.e.,, School classroom, Lobby area,
Park, Auditorium)
Information that is unique to your organization
Contact Name, Phone, Email (required) / Name: ______
Phone daytime: ______
after 5PM: ______
Email: ______
(required)
Knightings - Please indicate person(s) you would like knighted by King Winter, with personal information on each for use in preparing the knighting titles. (i.e. job, hobby, interests, relationship, etc.)
Name / Data
1
2
3
Please check either a court appearance, a Myth and Magic appearance or both.
_____ ROYAL COURT APPEARANCE/
_____ MYTH AND MAGIC APPEARANCE