Teacher/Contact First Name Last Name Email Address Phone Number Library to be Visited JC Linn JCPS district office Purpose of Visit Tour Storytime Other… Enter other… School/Group Grade(s) Number of Students in Group Number of Adults in Group Will your students need to check out materials on this visit? Yes No Topic of Assignment Would you like specific books set aside? Proposed Date and Time of Visit Proposed Date and Time of Visit: Date Proposed Date and Time of Visit: Time Alternate Date and Time of Visit Alternate Date and Time of Visit: Date Alternate Date and Time of Visit: Time