WFAA-TV WEATHERMINDS

REQUEST FORM

Brought to you by:

School name: ______

Contact person: ______

Day phone: ______Cell phone: ______

E-mail address: ______

Physical school address: ______

Main school phone: ______Fax: ______

Please list THREE possible dates and times a WFAA weathercaster can visit your school:

1.  Date: ______Time: ______

2.  Date: ______Time: ______

3.  Date: ______Time: ______

Presentation to be held in a classroom, auditorium or other: ______

Audio/visual equipment available (underline all that apply): TV/VCR/DVD; Power Point/computer or laptop/screen/cords; dry erase board/markers/eraser

Anticipated number of students and their grade:______

Parking specifics: ______

Directions from downtown Dallas to your school: ______

______

E-mail or fax to:

WFAA-TV WEATHERMINDS

C/O Anita Bass; WFAA-TV Channel 8

Phone (214) 977-6235 Fax (214) 977-6394