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Cheerleader & Mascot Appearance Request

Please fill in the following information. Please keep in mind that all requests must be made AT LEAST one month prior to the event date. You will be contacted with a confirmation or denial shortly after the request has been received.

Required Fields are in Bold

Contact Information
Last Name:
 
First Name:
 
Phone:
 
E-Mail:
 
Address:
 
City:
 
State:
 
Zip:
 
Organization/Group Information
Organization/Group Name (if applicable):
 
Organization type:
 
Non-Profit
Commercial
Personal
Campus Group
Event Information
Event Name:
 
Event Description:
 
Number of people expected at the event:
 
Event Date:
 
Event Time:
 
Event Location:
 
Request Information
Squad requested:
 
Cheerleaders
The Duck
If cheerleaders were chosen in the question above, number of cheerleaders you would like:
 
Any additional information about the event/request that should be taken into account:
 
Ducks On Pac-12 Networks