Grandma Davis Author in the School Programming
Information Request Form
When complete fax to (614) 734-8503
or scan and email to SchoolVisits@GrandmaDavis.com

Download a pdf version of this form by clicking here

 

Name of School:  _________________________________________________

Street Address of School:  ____________________________________________

Phone Number and Contact Person Grandma Davis can contact if she gets lost on her way to the building – person must be able to give good directions:  ___________________________________________________________________

Date of the Author in the School Programming:  ___ / ____ / 2011   M   T   W   R   F

Time you expect Grandma Davis to begin her first session:  _____________________

Sessions you want Grandma Davis to lead

q Entire School Reading of Book      qAirplane Book      qBird Book
Will there be a student reader? YES q   NO q
Will there be an LCD projector* and screen available? YES q   NO q

q Lesson for K/1 (30 minutes) – number of students:  _____ - number of presentations:  _____
Is an overhead projector* available?   YES q   NO q

q Lesson for 2/3 (30 minutes) – number of students:  _____ - number of presentations:  _____
Is an overhead projector* available?   YES q   NO q
Please mark which stories the students ARE familiar with:
Cinderella   YES q   NO q    Snow White   YES q   NO q
Goldilocks   YES q   NO q    Little Red Riding Hood   YES q   NO q
Little Red Hen   YES q   NO q  Beauty and the Beast   YES q   NO q
Sleeping Beauty   YES q   NO q  Finding Nemo   YES q   NO q
Are there allergies to chocolate, marshmallow cream or graham crackers? YES q   NO q

q Lesson for 4/5 (30 minutes) – number of students:  _____ - number of presentations:  _____
Is an overhead projector* available?   YES q   NO q

q Lesson for 6 (30 minutes) – number of students:  _____ - number of presentations:  _____
Is an overhead projector* available?   YES q   NO q

q Lesson for 7/8 (30 minutes) – number of students:  _____ - number of presentations:  _____
Is an overhead projector* available?   YES q   NO q

It is best if Grandma Davis travels between the sessions rather than waiting for one group to leave and another to enter.  The lessons are 30 minutes long and jam packed.

            Will someone be available to help Grandma Davis navigate the hallways to get to her next class on time?  This could be a student ambassador from each class. YES q   NO q  

            Will the students be assembled prior to Grandma Davis’ appointed time? YES q   NO q

            Will there be at least one other adult for each 20 students Grandma Davis will be working with at any given time? YES q   NO q

Most lessons require the use of paper and pencil, crayons, or markers.  Grandma Davis expects that the school will have these handy at each presentation except the reading of the book to the entire school.

*Grandma Davis can bring these if you do not have them on site