storytelling session request form (for schools) 20 st
TRANSCRIPT
Storytelling Session Request Form (for schools) 2020 St. Louis Storytelling Festival
April 23 to May 2, 2020If you are not able to electronically fill out the request form online
you can fill out the hard copy form below and return to Lisa Overholser ([email protected]) 4207 Lindell Blvd., Ste 400, St. Louis, MO 63108) via regular mail, fax or email. For questions, please call
314-200-2705.PLEASE SUBMIT REQUESTS AS SOON AS POSSIBLE.
*******************************
Choose ONE of the following options below:
□ I would like to schedule a field trip and bring my students to an off-site location
School Name: _________________________________________________________________________
School Address, City, State, Zip: ___________________________________________________________
School Phone / Email: __________________________
School Email: ____________________________
Contact Person (best person to contact for scheduling, follow-up, etc.):__________________________
Contact Phone / Email: ______________________________________________________
Field Trip Grade Level(s): _______________________________________
Total number of students: ____________________________________ Total number of adults: _______
Desired curriculum areas/story topics:
o Animals/Plants, Nature/Environmento Other sciences (math, physics, chemistry, etc.)o Historyo Social studies / World Cultureso Language/Creative Arts/English/Literatureo Character Educationo Musico Religious studieso Other: _______________
_______________ _______________
Desired dates for field trip (indicate order of preference):
o Wednesday, May 1AM: ___PM: ___(**featured tellers will not be available this day)
o Thursday, May 2AM: ___PM: ___
o Friday, May 3AM: ___PM: ___
NOTE: Participating off-site locations will include local and regional libraries, Missouri Botanical Garden, Missouri History Museum, Ulysses S. Grant Historic Site, Old Courthouse Gallery, and others. Full list available in late January. A Festival volunteer will be calling you back in January to schedule field trips.
□ I cannot/prefer not to bring my students on a field trip and would like to have astoryteller/storytellers sent directly to my school
School Name: _________________________________________________________________________
School Address, City, State, Zip: ___________________________________________________________
School Phone / Email: __________________________
Contact Person (best person to contact for scheduling, follow-up, etc.):__________________________
Contact Phone / Email: ______________________________________________________
Each session lasts 45 min., 10 – 15 min. between sessions, session limit 300. For each desired session, please designate time(s), grade levels/ages, and approximate # of audience. You can also indicate order of preference of dates/times.
Wednesday, May 1 (*Featured tellers will not be available this day) ___ number of sessions
Session 1 time/# students/grades: ___________ Session 2 time/# students/grades:______________
Session 3 time/# students/grades: ___________ Session 4 time/# students/grades: ______________
Thursday, May 2,
Session 1 time/# students/grades: ___________ Session 2 time/# students/grades:______________
Session 3 time/# students/grades: ___________ Session 4 time/# students/grades: ______________
Friday, May 3
Session 1 time/# students/grades: ___________ Session 2 time/# students/grades:______________
Session 3 time/# students/grades: ___________ Session 4 time/# students/grades: ______________
TOTAL # AUDIENCE (FROM ALL SESSIONS) - Children: ______________ Adults: _____________
NOTE: Performers will need space, microphone, chair, and water. If you do not have a microphone or speaker system, please indicate here! - __________________(no sound system)