Form for Press Release Information

To help spread the word about Ollie’s mission to save lives, a press release will be generated and sent to the local media about your presentation. Simply fill out this form and click Submit.

A press release will automatically generate and be sent to the local media responsible for covering the school’s district. All you have to do is accurately supply the following information:

Please make sure all information is complete and accurate, including the correct spelling of names. Information is subject to editing.

Presentation Information

Your Name:

Presenter's Name (first & last):

First: Last:

List all volunteers involved (including teachers, officers, community leaders, etc.):

Name:	Occupation:	Organization:
Name:	Occupation:	Organization:
Name:	Occupation:	Organization:
Name:	Occupation:	Organization:
Name:	Occupation:	Organization:
Name:	Occupation:	Organization:
Name:	Occupation:	Organization:
Name:	Occupation:	Organization:
Name:	Occupation:	Organization:
Name:	Occupation:	Organization:

Date of presentation (YYYYMMDD):

Full name of school:

School’s street address:

School’s city:

School’s county:

Other:

School’s state:

School’s zip:

Grades attending (1st, 2nd, 3rd, etc.):

Approximate number of students in attendance:

School principal’s full name:

First: Last:

Principal's email address:

Teachers’ names (if any are involved in the presentation):

* School Representative Quote: Ask the school contact the following question and record his or her exact words below:
“What was your impression of the Ollie Otter program?”

School Representative Quote: Record the name and title of the school representative giving the quote.

First: Last: Title:

Choose a photo to upload (5 MB Limit):
Description of the photo: (Identify full names of people from left to right.)

Once you click submit, the photo(s) may take a while to upload. Click Submit once and wait for the confirmation message.