Thanks for your interest in the Colossal Colon®!  Please fill out as much information as possible and click “SUBMIT.”  

Also, please note several things:
• You will receive a confirmation email when your request has been received.  If you don’t receive a confirmation email, please resubmit your request. If you are concerned that you have not received a response, feel free to email Scheduling@ColossalColon.com. 
• Because March is National Colorectal Cancer Awareness Month, we receive many more requests than we can fulfill.  March is usually booked at least a year in advance.  If you can possibly accommodate the Colossal Colon® at another time of the year, we suggest that you request a different month for your second choice.  That said, we do receive cancellations and occasionally have last-minute openings in March, so if March is the only time you can host Coco, go ahead and ask for the date you want! 

Even if you aren’t ready to make a rental request for the Colossal Colon®, please go ahead and fill out the request form – just type “unknown” in any of the blanks if you do not know the information.  We will send you the Colossal Colon® Information Packet – it’s fun to check out, and you can use it to plan for the future.  

Company/Organization Name:
Event Description and Notes:
Event Location:
Contact Name:
Contact Address:
City, State and ZIP Code:
Telephone Number:
FAX Number:
Email:
First Choice Date:	(please include year)
Second Choice Date:	(please include year)
Check Box if Dates are Flexible:
Are you working with any other organizations or companies to bring the Colossal Colon to your event. If so please indicate those groups here:

Thank you. After submitting this form your request will be reviewed and you will hear back from someone shortly.