School Address:

City:   Province: AB BC MB NB NL NS NT ON PE QC SK YT

Postal Code: School phone number:

Preferred week:
                             (specific date to be confirmed based on Brian's availability)

Contact Name:

E-mail:

Home or Cell phone number:
                                 (in case of last-minute weather cancellation)

Which presentation: Choose... Last in Line Tooters Stinky Wish

Which type of presentation you'd prefer: Choose... Option "A" Option "B" Option "C"

The exact times you would like each session to begin:

Who the audience will be (i.e. grades):

As Brian's presentations are through multimedia, he will need to use a LCD projector. If your school does not have access to one, he will arrange to bring one.
 
We have a LCD projector: Choose... Yes No