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.