This is not a contract and/or an agreement.  The information provided by you, or any personnel
associated with your organization, will remain strictly confidential and will not be sold, rented,
leased, distributed, loaned, or emailed to any institutions outside of The Great American Royal
Circus’s management team.   

The purpose of this form is to gauge the urgency needed from our organization and to obtain
contact information that may be used to help formulate tour dates for The Great American Royal
Circus Inc.

The Great American Royal Circus Inc. provides, at no cost to you and/or your organization/food
bank, all necessary equipment, circus personnel, insurance, cost of arena rental, media fees,
licenses, permits and any other fee associated with the operation of the circus.  

The Great American Royal Circus reserves exclusive rights pertaining to the sale of concessions
and novelties.       

If you can not answer the question, please write N/A in the box.
Please provide the name of your organization.
Address of your organization:
Phone number for your organization:
Your name:
Your title:
Contact Name:
Contact’s title:
Contact’s phone number:
Contact’s email address:
How many counties does you organization serve?
How many pounds of food does your organization deliver per day?
What is the food insecurity rate for your district?
What is the child poverty rate for your district?
Would your organization be interested in The Great American Royal Circus performing a
massive food drive and provide much needed awareness for your organization:
Yes
No
Is there an indoor arena that holds a minimum of 4000 guests in your relief area?
Yes
No
Name of indoor arena:
Phone number of arena:
Contact person for the arena:
Would your organization be willing to speak with the contact person for the arena to help
achieve a lower rental fee for the circus?
Yes
No
Would your organization be willing to speak with the media to help promote your food drive?
Yes
No
Would your organization be willing to speak with city hall (licensing and permits) to help
achieve a lower rate?
Yes
No
Would your organization be willing to supply either staff members or volunteers to collect all
donated tangibles at the admission gates of the circus?
Yes
No
Would you like to make a comment and/or ask a question?
For show locations and
dates, please visit:
Would you like for The Great American Royal Circus to perform a massive food drive for
your organization and/or community?  Please fill out the form below and click submit.    
The Circus Is Coming Your Way!