Appearance Request Date of event * MM DD YYYY Start time * Your appearance may not be approved if it falls within the newscast hours. Hour Minute Second AM PM End time * Hour Minute Second AM PM Name * Point of contact for the event First Name Last Name Email * Organization * EX: American Cancer Society, Parkwood Elementary, Girl Scouts Link to your website * http:// Event Description * Explain who it benefits, what type of event, etc. Number of attendees/participants * Who would you like to attend your event? * Anchor Reporter Behind the scenes Other If other please describe Requested Role * Ex: Speaker, Emcee, Participant, Etc. Appearance Type * In Person Live Virtually Prerecorded Message Location Address 1 Address 2 City State/Province Zip/Postal Code Country Thank you!