Author Visit Form

Please complete this form to request more information about our Author Readings and Visits.

Please enter “gail@yogachild.net” and “info@yogachild.net” into your email contacts so that you can receive our response. Otherwise our reply may not be received.

    Your Name (required)

    Your Email (required)

    Your Phone

    Your Position or Title

    School District, if public

    School/Site Name

    School Location

    We would like to schedule a: (check one)
    School-Wide AssemblySchool-Wide Assembly with classroom visitsClassroom readingsAn Author Residency

    If checked "Classroom readings" please specify number

    Preferred Start Date

    Preferred End Date

    Grade(s)/Ages of Students (required)

    Number of students per class

    We look forward to receiving this form and to responding within forty-eight hours to discuss next steps for reserving your author visit with Gail Silver.